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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differential causes dermatomes extremity myotomes ophthalmology sensory adies arm atypical brain clinical comatose criteria cva drift half hyponatremia leg lesions
Parkinson's Plus Syndromes - Atypical Parkinsonism Main motor symptoms: • Tremors • Limb rigidity • Bradykinesia Other symptoms
Parkinsonism Main motor ... system atrophy (MSA ... (CBS) • Dementia ... #Parkinsonism #diagnosis ... #neurology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
Chorioretinitis • Diagnosis ... - Compatible syndrome ... + MRI lesions + ... #causes #radiology ... #neurology
Pronator Drift Testing for Stroke Subtle extensor weakness - Sign of Upper motor neuron lesion In detecting CT/MRI
Sign of Upper motor ... In detecting CT/MRI ... Testing #Stroke #physicalexam ... #diagnosis #neurology
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Demyelinating Disease (MS ... Trauma, Tumor • Motor ... Guillain-Barre syndrome ... #differential #diagnosis ... #neurology
McDonald Criteria for Diagnosis of Multiple Sclerosis • 2 or more attacks, 2 or more lesions
McDonald Criteria for Diagnosis ... implicating a different CNS ... McDonald #Criteria #Diagnosis ... Multiple #Sclerosis #MS ... #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
and Myotomes Motor ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
• Cauda Equina Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... : • CN Ill Palsy ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
MRI was ordered ... the hospital, diagnosed ... with MS, and started ... #PhysicalExam # ... ophthalmology #neurology
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 The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
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