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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29 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
symptomatology Differential ... β€’ Labs: CBC, cr ... , anti-CCP β€’ CXR ... #differential # ... diagnosis #nephrology
Simultagnosia on Physical Exam (Balint Syndrome)

The patient can recognize objects one at a time but cannot
Physical Exam (Balint Syndrome ... Simultagnosia #Balint #Syndrome ... #PhysicalExam #clinical ... #video #neurology ... #ophthalmology
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Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 β€’ Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia - Differential ... Tumor Genesis Syndrome ... Carboxymaltose, CAR-T ... Hypophosphatemia #Differential ... Diagnosis #Algorithm #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Algorithm and Differential ... blood count with differential ... investigations depending on clinical ... Abdominal compartment syndrome ... β€’ Cardio-renal syndrome
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... #PhysicalExam #neurology ... #ophthalmology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... Diarrhea A urine K/Cr ... , Gitelman syndrome ... diagnosis #Algorithm #differential ... #potassium #nephrology
Causes of Neuromuscular Weakness
 β€’ Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Guillain-Barre syndrome ... heavy metals), Critical ... Lambert Eaton Syndrome ... Weakness #Causes #differential ... #diagnosis #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... diagnosis of Horner's syndrome ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
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Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
#PhysicalExam #clinical ... #video #ophthalmology ... #neurology #syndrome
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