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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13 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
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
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
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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