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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Clinical Manifestations of Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Clinical Manifestations ... β€’ Ophthalmologic ... Cardiovascular and vital sign ... Symptoms #spectrum #signs ... #diagnosis
Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
Parinaud's Syndrome ... retraction (Collier's sign ... β†’ "setting sun sign ... #diagnosis #pineal ... #neurology
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
Woltman’s sign on ... reflex β€” Woltman’s sign ... Woltman’s sign, ... #Woltmans #Signs ... Reflexes #Delayed #Clinical
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Parinaud's syndrome
What?
 β€’ Light-near dissociation (tectal pupils)
 β€’ Convergence retraction nystagmus
 β€’ Eyelid retraction (Collier's sign)
Parinaud's syndrome ... retraction (Collier's sign ... "setting sun" sign ... neudrawlogy #Parinauds #syndrome ... #neurology #diagnosis
The findings in the table below suggest an eyelid injury that may require additional evaluation and
These clinical signs ... should prompt an ophthalmology ... consultation #Diagnosis ... #Ophthalmology ... Complicated #RedFlags #Signs
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
sliding/barcode sign ... Consolidations - "Shred" sign ... Respiratory Distress Syndrome ... #differential #diagnosis ... #signs #Lung #POCUS
Nikolsky's Sign in Toxic Epidermal Necrolysis (TEN)

Nikolsky's sign is a clinical dermatological sign which is present
Nikolsky's Sign ... Nikolsky's sign ... sign which is present ... Nikolsky's sign ... differentiating between the diagnosis
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Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
Chilaiditi Sign ... Chilaiditi sign ... #Chilaiditi #Sign ... #Chest #XRay #CXR ... #clinical #radiology
Bell's Phenomenon on Physical Exam

Carles Bell realized that when trying to close the eye on the
Bells #Phenomenon #Sign ... #clinical #video ... #PhysicalExam #ophthalmology ... #neurology
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Nikolsky's Sign in Toxic Epidermal Necrolysis (TEN) - See Updated MP4 Clip Here: https://www.grepmed.com/images/6837

Nikolsky's sign is
Nikolsky's Sign ... Nikolsky's sign ... sign which is present ... Nikolsky's sign ... pemphigoid (where the sign
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