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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17 results
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... macropsia), color, movement ... (Many causes!) ... * (most common cause ... #diagnosis #neurology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
maintained fever CAUSES ... Phaeochromocytoma Neurologic ... #Anesthesiology ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... and Differential Diagnosis ... osmolarity If cause ... #Injury #AKI #Workup ... #nephrology #causes
Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... #differential #diagnosis
Major neurocognitive disorders (MNCD): Diagnosis and workup 

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)
and workup ... Alzheimer - 1st cause ... Aphaso-apraxo-agnosia syndrome ... hallucinations - Movement ... Dementia - 2nd cause
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... dissociation β€’ Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... β€’ Locked-in syndrome ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 β€’ Abduction - C5,C6 (axillary)
 β€’ Adduction - C6, C7,
hand" Β± Horner Syndrome ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❢ Call for help and inform theatre team of
bronchospasm with no air movement ... Consider alternate diagnoses ... anaesthesia #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
(no horizontal movement ... The most common causes ... the hospital, diagnosed ... #PhysicalExam # ... ophthalmology #neurology
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