Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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12 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... dissociation • Other causes ... • Physiologic Anisocoria ... #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
slightly reduced near ... Clinical confirmation ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
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Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
experience, the cause ... #clinical #video ... #ophthalmology ... #physicalexam #neurology ... #Anisocoria
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Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... D D-lactate (short ... bowel syndrome, ... Diagnosis #Summary #Nephrology ... #VBG #differential
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
accommodation (i.e., light-near ... It is caused by ... #PhysicalExam #clinical ... #video #ophthalmology ... #neurology #syndrome
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Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
osmolarity If cause ... investigations depending on clinical ... ANCA, ANA, Anti-GBM ... #Diagnosis #nephrology ... #causes
Rhombencephalitis
BACTERIAL
- Listeria (biphasic illness with bulbar dysfunction occurring later)
- Mycobacterium tuberculosis
- Pneumococcus
- Brucella
- Borrelia (Lyme Disease)
-
encephalitis, West ... Miller-Fisher GBS ... Rhombencephalitis #Differential ... #Diagnosis #Causes ... #Neurology
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... Incidence: 1 to 2 cases ... per 100,000 per year ... transplantation CLINICAL ... and sensitive tests
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Locked-in syndrome ... Pupils: • Anisocoria ... If ok with ICU team ... Casey Albin MD @
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Approach to the differential ... Cytomegalovirus; GBM ... hemolytic-uremic syndrome ... heart disease, ear ... #nephrology