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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Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
39 C this is a clinical ... β€’ Serotonin syndrome ... Anticholinergic syndrome ... Phaeochromocytoma Neurologic ... #Checklist #Diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
help and inform clinical ... indicated, start CPR ... tube ❹ Rapid diagnosis ... β€’ Diagnostic ... Anesthesiology #Anesthesia
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
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Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 β€’ Defect in fetal free fatty acid metabolism products β†’
Pregnancy (AFLP) Pathophysiology ... AP, ↑INR, ↑BUN/Cr ... Antithrombin Ill β€’ Ultrasound ... ) Differential Diagnosis ... Maternal Support - Critical
Alexia Without Agraphia
Alexia without agraphia is a disconnection syndrome where patients cannot read but can write.
disconnection syndrome ... Pathophysiology: ... angular gyrus Clinical ... #neurology #diagnosis ... #pathophysiology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... patient presented to clinic ... the hospital, diagnosed ... #video #ophthalmology ... #neurology
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Guillain-BarrΓ© Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 β€’ Incidence: 1
Guillain-BarrΓ© Syndrome ... transplantation CLINICAL ... the underlying pathophysiology ... Guillain #Barre #Syndrome ... #neurology
Subclavian steal syndrome (SSS) 
Subclavian artery narrowing or oclussion near the proximal portion of the vertebral
Subclavian steal syndrome ... subclavian artery Clinical ... exertion, pain, paresthesia ... pressure 2️⃣ Neurologic ... #SSS #pathophysiology
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Gitelman Syndrome ... excretion of Cl > 0.5% Clinical ... - Normal Renal Ultrasound ... dr_missyhanna #Gitelman #Syndrome ... #nephrology
Pupillary Hippus

The pupillary hippus is defined as a continuous oscillation of the pupillary diameter in the
Its pathophysiology ... the clue for the diagnosis ... Hippus #athetosis #clinical ... #video #neurology ... #ophthalmology
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