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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34 results
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Guillain-BarrΓ© syndrome ... Hyperthyroidism, Serotonin syndrome ... #differential # ... diagnosis #table ... #neurology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 β€’ Intraorbital meningioma 
 β€’ Pituitary adenoma
Differential diagnoses ... for the neuro-ophthalmologic ... β€’ Wernicke's encephalopathy ... Miller-Fisher syndrome ... #Diagnosis #Causes
Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome ... - Inability to differentiate ... patient is still able ... to copy Causes ... #neurology #diagnosis
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Diagnosis Baseline ... cryoglobulins, hepatitis serology ... , HIV serology, ... #Diagnosis #nephrology ... #causes
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... (Many causes!) ... * (most common cause ... #diagnosis #neurology ... #differential
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, MΓ©niΓ©re disease,
Peripheral and Central Causes ... Vertigo Peripheral Causes ... Wallenberg syndrome ... #differential # ... diagnosis #neurology
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 β€’ Focal: Simple, Complex
 β€’ Generalized: Absence,
Causes of Seizures ... - Differential ... Diagnosis Algorithm ... vasoconstriction syndrome ... #Causes #neurology
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
Secondary Causes ... hyperviscosity syndrome ... #Priapism #Diagnosis ... #Management #Urology ... #Differential
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 ... Diagnosis: β€’ CN ... #PhysicalExam #neurology ... #ophthalmology