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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neurology physicalexam video adies diagnosis apex barre comatose diarrhea gbs guillain half herpes horners hzo infectious management one oneandahalf ophthalmicus
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 ... #anisocoria #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
accommodation (i.e., light-near ... It is caused by ... #PhysicalExam #clinical ... #video #ophthalmology ... #neurology #syndrome
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 Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
how the right pupil ... #clinical #video ... #ophthalmology ... #physicalexam #neurology ... #Anisocoria
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 The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Locked-in syndrome ... Cough reflex Pupils ... : • Anisocoria ... If ok with ICU team
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
One and a Half Syndrome ... fasciculus), which causes ... The most common causes ... #video #ophthalmology ... #neurology
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 Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
a non-reactive pupil ... other potential causes ... Ophthalmicus #HZO #clinical ... #video #ophthalmology ... #physicalexam #neurology
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 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
Clinical Presentations Suggestive of Infectious Diarrhea Etiologies • Persistent or chronic diarrhea - Cryptosporidium spp, Giardia
Clinical Presentations ... infections can cause ... Bacillus cereus (short-incubation ... often lasting a year ... Diarrhea #diagnosis #differential
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