Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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15 results
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... (Many causes!) ... β€’ Psychiatric disorders ... #diagnosis #neurology ... #differential
Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
Extraocular Movement Disorders ... One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... #differential #
Confabulation
What? Honest Lie.  
No incoming sensory information + Filling of the blanks with different information
Disease, Anton's Syndrome ... Blindness, Psychiatric Disorders ... Confabulation #differential ... #diagnosis #causes ... #neurology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
maintained fever CAUSES ... Phaeochromocytoma Neurologic ... #Hyperthermia #Differential ... #Anesthesia #Checklist ... #Diagnosis #Management
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
Respiratory Failure - Differential ... respiratory drive due to neurologic ... obesity-hypoventilation syndrome ... OSA DIFFUSION DISORDER ... hepatopulmonary syndrome
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
Secondary Causes ... hyperviscosity syndrome ... Priapism #Diagnosis #Management ... #Urology #Differential
Major neurocognitive disorders (MNCD): Diagnosis and workup 

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)
neurocognitive disorders ... Alzheimer - 1st cause ... Aphaso-apraxo-agnosia syndrome ... Dementia - 2nd cause ... MNCD #Dementia #Differential
Ketosis Disorders
Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
Ketosis Disorders ... of re-feeding syndrome ... Glucosuria causes ... #ketones #differential ... #diagnosis #management
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Differentials? ... D-lactate (short bowel syndrome ... #AcidBase #disorders ... Diagnosis #Summary #Nephrology
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
adult, 10 ml.kg-1 paediatric ... o Endocrine cause ... #Hypotension #Differential ... Intraoperative #Checklist ... #Diagnosis #Management