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 clinical video nephrology algorithm hemiballismus hemichorea hyponatremia ophthalmology low comparison hypokalemia management sodium workup ballism ballismus bilateral metabolic potassium
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... #differential #
Alice in Wonderland Syndrome What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... macropsia), color, movement ... (Many causes!) ... #diagnosis #neurology ... #differential
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Guillain-Barré syndrome ... Hyperthyroidism, Serotonin syndrome ... #differential # ... diagnosis #table ... #neurology
When trying to differentiate between the two conditions think “FAST” with Serotonin Syndrome and “SLOW” with
When trying to differentiate ... Serotonin Syndrome ... onset - FAST movements ... onset - SLOW movements ... NeurolepticMalignant #Comparison #Table
Marcus Gunn Phenomenon - Jaw Winking Syndrome Jaw-winking syndrome is thought to be caused by abnormal innervation
- Jaw Winking Syndrome ... Jaw-winking syndrome ... thought to be caused ... clinical #video #neurology ... #physicalexam #
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 Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... Diagnosis Algorithm Syndrome ... Pain/Post-op • Neurologic ... #Differential #
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... , Gitelman syndrom ... #Hypokalemia #Differential ... Diagnosis #Algorithm #causes ... potassium #low #nephrology
Gerstmann Syndrome 1) Finger agnosia - Inability to name their own fingers, affecting both sides 2) Right-left confusion
Gerstmann Syndrome ... - Inability to differentiate ... patient is still able ... to copy Causes ... #neurology #diagnosis
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... - Differential ... Defining the cause ... #hypokalemia #differential ... #nephrology #potassium
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