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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diagnosis differential hypokalemia low ophthalmology clinical physicalexam adies alkalosis ataxia chloride disorders extraocular gait half localization metabolic myoclonus ocular omas
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... Skew Deviation Casey ... #Extraocular #Movement ... ophthalmology #neurology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... , Gitelman syndrom ... Differential #Diagnosis #Algorithm ... #causes #potassium ... #low #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... differential #diagnosis #algorithm ... #causes #nephrology ... #potassium
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Differential Diagnosis Algorithm ... acid, Liddle's Syndrome ... Differential #Diagnosis #Algorithm ... #nephrology #causes ... #low #potassium
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... treated with IV potassium ... wasting from other causes ... suggests extra-renal causes ... #nephrology #low
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN Ill Palsy ... abnormal extraocular movements ... dissociation • Other causes ... #PhysicalExam #neurology
Opsoclonus-Myoclonus Ataxia Syndrome (OMAS) -Dancing eyes - dancing feet syndrome • Opsoclonus: ocular spontaneous, arrhythmic, conjugate
conjugate saccades movements ... shock-like, involuntary movements ... caused by muscular ... #clinical #video ... #neurology #gait
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 One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
the follow up video ... fasciculus), which causes ... (no horizontal movement ... The most common causes ... ophthalmology #neurology
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 Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... , Gitelman syndrome ... the indicated causes ... of sodium and potassium ... #nephrology #differential
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