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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9 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 ... #PhysicalExam #neurology ... #ophthalmology
Tinel's Test for Tarsal Tunnel Syndrome

Perform a Tinel's over the tarsal tunnel, attempting to reproduce pain,
Tinel's Test for ... numbness, or tingling caused ... #ankle #PhysicalExam ... #clinical #video ... #sports #msk #orthopedics
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Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology
Imaging Findings:
 • Os trigonum which has marrow
(Os Trigonum) Syndrome ... Case description ... hallucis longus Differential ... syndesmotic ligament tear ... #clinical #mri
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
., light-near dissociation ... It is caused by ... #PhysicalExam #clinical ... #video #ophthalmology ... #neurology #syndrome
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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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The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... If ok with ICU team ... Casey Albin MD @
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
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
DISLOCATION: ~25% cases ... nerve injury (25%) TEST ... Compartment syndrome ... CLINICAL: instability ... >> LINK TO ACL TEARS
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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