Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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
What? Unknown nature & benign
 โ€ข Regular and mildly dilated pupil (4-6mm);
 โ€ข Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... dissociation โ€ข 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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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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Staphylococcus-associated GlomeruloNephritis - Diagnosis and Management Summary
CLINICAL
 โ€ข Nephritic syndrome (Casts)
 โ€ข Marked proteinuria (may be
Summary CLINICAL ... โ€ข Nephritic syndrome ... (Casts) โ€ข Marked ... โ€ข No serologic tests ... GlomeruloNephritis #nephrology
The Neurological Evaluation of a Comatose Patient

Definition:
 โ€ข Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Unresponsive wakefulness syndrome ... โ€ข Locked-in syndrome ... If ok with ICU team ... Casey Albin MD @
Guillain-Barrรฉ Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 โ€ข Incidence: 1
Guillain-Barrรฉ Syndrome ... per 100,000 per year ... and sensitive tests ... #diagnosis #management ... #neurology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... very remarkable w/differential ... the โ€œChewing gum test ... required +/- prompt ophthalmology ... Symptoms #Diagnosis #Management
Pectoralis Major Rupture Injury during Bench Press Exercise
CLINICAL: a rare injury patterns with typical sudden "tear/pop"
Press Exercise CLINICAL ... typical sudden "tear ... immobilization, rest ... Inferior to operative management ... to competitive sports
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Clinical Presentations Suggestive of Infectious Diarrhea Etiologies
 โ€ข Persistent or chronic diarrhea - Cryptosporidium spp, Giardia
Clinical Presentations ... infections can cause ... Bacillus cereus (short-incubation ... often lasting a year ... Diarrhea #diagnosis #differential
Unilateral Floppy Eyelid Syndrome

This middle-aged male reported to clinic for persistent blurry vision and irritation of
Floppy Eyelid Syndrome ... Our management for ... Start artificial tears ... #video #ophthalmology ... #neurology
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