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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Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, MΓ©niΓ©re disease,
Peripheral and Central ... Peripheral Causes ... / #Vertigo #Peripheral ... #differential #diagnosis ... #neurology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... hematuria (RBC casts ... #Comparison #Algorithm ... #Nephrology #Diagnosis
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 β€’ Head Impulse: Head thrust 10Β° with eyes
TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... #Vertigo #diagnosis ... #neurology #bppv ... #comparison #table
Algorithm showing a stepwise approach to the assessment and investigation of a possible neuropathy. CIDP, chronic
Charcot-Marie-Tooth; EMG ... Guillain-BarrΓ© syndrome ... #Diagnosis #Neurology ... #Neuropathy #Peripheral
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
polyneuropathy (e.g ... Guillain-BarrΓ© syndrome ... Hyperthyroidism, Serotonin syndrome ... #differential #diagnosis ... #table #neurology
Causes of Peripheral Edema - Differential Diagnosis
Increased Hydrostatic Pressure
 β€’ Volume Expansion: Kidney failure, Pregnancy, Medication
Causes of Peripheral ... - Differential Diagnosis ... Cirrhosis, Nephrotic syndrome ... #Peripheral #Edema ... #Differential #Diagnosis
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... (Many causes!) ... * (most common cause ... Alice #Wonderland #Syndrome ... #diagnosis #neurology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential Diagnosis ... Algorithm Syndrome ... Pain/Post-op β€’ Neurologic ... Uosm < 100 mmol/kg
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a peripheral ... cause of AVS and ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Etiologies of Peripheral ... Paraprotein-associated (POEMS syndrome ... @uncimchiefs #Peripheral ... #differential #diagnosis ... #causes #neurology