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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Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
a neurological disorder ... It is caused by ... #PhysicalExam #clinical ... #video #ophthalmology ... #neurology #syndrome
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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
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Extraocular Movement Disorders ... One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential
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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Major neurocognitive disorders (MNCD): Diagnosis and workup 

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)
neurocognitive disorders ... workup 1) Clinical ... ... laboratory tests ... Aphaso-apraxo-agnosia syndrome ... MNCD #Dementia #Differential
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... D D-lactate (short ... bowel syndrome, ... #AcidBase #disorders ... Diagnosis #Summary #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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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
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