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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11 results
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
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
., light-near dissociation ... It is caused by ... #PhysicalExam #clinical ... #video #ophthalmology ... #neurology #syndrome
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Purtscher Retinopathy on Fundoscopy Ocular Examination

33 year-old who presents 2 weeks after car accident.  Fundus
on Fundoscopy Ocular ... Examination 33 year-old ... with Purtscher syndrome ... #clinical #video ... #ophthalmology
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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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Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... Clinical confirmation ... Pupil #anisocoria #clinical ... #video #ophthalmology ... #physicalexam #neurology
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The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Locked-in syndrome ... • Vestibulo-ocular ... If ok with ICU team ... Casey Albin MD @
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
acetate to help with ocular ... other potential causes ... Ophthalmicus #HZO #clinical ... #video #ophthalmology ... #physicalexam #neurology
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Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Maneuver This is a case ... beating to left ear ... Hallpike #Maneuver #clinical ... #physicalexam #ophthalmology ... #neurology #Frenzel
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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