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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35 results
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, MΓ©niΓ©re 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 ... #vertigo #neurology ... instructions #clinical #video ... #physicalexam # ... management
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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
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 β€’ Abduction - C5,C6 (axillary)
 β€’ Adduction - C6, C7,
Erb's Palsy is caused ... "waiter's tip" position ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
Secondary Causes ... #Priapism #Diagnosis ... #Management #Urology ... #Differential
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
mobilization or supine position ... Caused commonly ... pleurothotonus #PhysicalExam ... #clinical #neurology ... #posture #video
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Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Young females Differential ... Diagnosis: β€’ CN ... dissociation β€’ Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
Airway β€’ Check position ... levelling patient position ... Airway #Pressure #Differential ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Airway β€’ Check position ... team. ❼ Consider causes ... #Hypotension #Differential ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Benign #paroxysmal #positional ... #vertigo #neurology ... instructions #clinical #video ... #physicalexam # ... management
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