Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
Extraocular Movement Disorders ... Skew Deviation Casey ... Extraocular #Movement #Disorders ... ophthalmology #neurology ... #differential #
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 β€’ Toxoplasmosis (CD4 < 100)
 β€’ Other
CNS Ring-Enhancing ... Compatible syndrome + MRI ... Lesions #Brain #differential ... #diagnosis #causes ... #radiology #neurology
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
β€’ CNS: parietal ... (Many causes!) ... β€’ Psychiatric disorders ... Syndrome #diagnosis #neurology ... #differential
Algorithm for evaluating multiple ring-enhancing lesions in immunocompetent (HIV negative)

#ringenhancing #lesions #cns #brain #diagnosis #differential #algorithm
ringenhancing #lesions #cns ... brain #diagnosis #differential ... #algorithm #causes ... #radiology #neurology
Hemichorea-Hemiballismus on Neurological Examination - Movement Disorders

This case was caused by CNS tuberculosis.

#Hemichorea #Hemiballismus #clinical #video
Examination - Movement Disorders ... This case was ... caused by CNS tuberculosis ... clinical #video #neurology ... #movement #physicalexam
β–Ί
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes ... Echocardiography, Cardiac MRI ... Sarcomeric Protein Disorders ... #differential # ... cardiology #algorithm
Imaging Patterns of Toxic and Metabolic Brain Disorders

Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy
Dentate Nuclei: Metronidazole,
Metabolic Brain Disorders ... Pons: ODS #MRI ... #Clinical #Differential ... #Diagnosis #Radiology ... #Neurology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Differentials? ... acidosis: - CNS ... #AcidBase #disorders ... Diagnosis #Summary #Nephrology
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Young females Differential ... Diagnosis: β€’ CN ... dissociation β€’ Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Hydroxyapatite Deposition Disease (HADD) - MSK Radiology
Imaging Findings:
 β€’ Ovoid hypointense structures along the bursal surface
Case description ... β€’ MRI shows globular ... Differential diagnosis ... other systemic disorders ... Disease #clinical #mri