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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Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central Causes ... Vertigo Peripheral Causes ... Benign paroxysmal positional ... #differential #diagnosis ... #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
into a supine position ... remains in this position ... #vertigo #neurology ... instructions #clinical #video ... #physicalexam #management
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Erb's Palsy is caused ... "waiter's tip" position ... Dislocation - May cause ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
much easier to diagnosis ... Type1 #Distal #Diagnosis ... #Management #Nephrology ... #Causes #Differential
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
should identify any cause ... Airway • Check position ... levelling patient position ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
hypovolaemia or combined causes ... Airway • Check position ... pressure as a cause ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
Secondary Causes ... #Priapism #Diagnosis ... #Management #Urology
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
mobilization or supine position ... Caused commonly ... PhysicalExam #clinical #neurology ... #posture #video
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... The video highlights ... Syndrome #clinical #video ... #physicalexam #neurology
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
optimal airway management ... the patient is positioned ... extension. ❽ Operator position ... Intraoperative #Checklist #Diagnosis ... #Management #Workup