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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18 results
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
the pupillary reflex ... very sensitive diagnostic ... regarding the cause ... #Neurology #Clinical ... Pupils #MacrusGunn #PhysicalExam
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Marcus Gunn Pupil - Relative Afferent Pupillary Defect (RAPD)
Definition: Afferent loop of the pupillary light reflex
Afferent Pupillary Defect ... pupillary light reflex ... Optic nerve* (main cause ... neuritis due to MS ... #RAPD #neurology
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
this specific case ... middle finger. 2) Ask ... Hoffmanns #Sign #Reflex ... clinical #video #neurology ... #PhysicalExam
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Full thickness Supraspinatus defect in a patient in their 30's, trauma related. Full case to follow
Supraspinatus defect ... Full case to follow ... Site - MSK ultrasound ... Supraspinatus #defect ... #msk #pocus
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The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Casey Albin MD @ ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 β€’ Abduction - C5,C6 (axillary)
 β€’ Adduction - C6, C7,
, T1 (median) Reflexes ... Erb's Palsy is caused ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 β€’ Knee - L2, L3, L4
 β€’ Ankle - S1
and Myotomes Reflexes ... Commonly caused ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
The most common causes ... the hospital, diagnosed ... with MS, and started ... Half #Syndrome #PhysicalExam ... ophthalmology #neurology
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COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
v2.3) updated to reflect ... 31 β€’ First US case ... emergency 2020-3-12 Diagnosis ... unilateral* β€’ POCUS ... COVID19 #Cheatsheet #Diagnosis
Lazarus Reflex on Physical Exam

The Lazarus sign is a reflex movement observed in brain-dead or brainstem
Lazarus Reflex on ... after brain death diagnosis ... reported in some cases ... #PhysicalExam # ... clinical #video #neurology
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