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 diagnosis msk pupil posterior anisocoria barre comatose diarrhea dislocation gbs guillain half impingement infectious injury knee management
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
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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 Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Clinical confirmation ... Pupil #anisocoria #clinical ... #video #ophthalmology ... #physicalexam #neurology
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 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
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
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