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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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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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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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
Urine Microscopy Instructions
1) Spin fresh urine sample (10-15mL) in a centrifuge for 3-5 minutes - Don't
Urine Microscopy Instructions ... under lower power (casts ... Urine #Microscopy #Instructions ... #nephrology #diagnosis
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 ... 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
Airway β€’ Check position ... levelling patient position ... Consider potential causes ... 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 β€’ Check position ... pressure as a cause ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
sitting to supine position ... patient in this position ... to the upright position ... Maneuver #BPPV #Instructions ... #Diagnosis #neurology
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
Secondary Causes ... #Priapism #Diagnosis ... #Management #Urology