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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Wall-eyed bilateral inter nuclear ophthalmoplegia (WEBINO) Syndrome

In this specific case, the lesion is bilaterally in the
Wall-eyed bilateral ... ophthalmoplegia (WEBINO) Syndrome ... this specific case ... the lesion is bilaterally ... ophthalmoplegia #WEBINO #Neurology
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Bilateral Ballism on Neurological Examination - Movement Disorders

In this case caused by herpes encephalitis with thalamic
Bilateral Ballism ... Examination - Movement ... caused by herpes ... clinical #video #neurology ... #movement #physicalexam
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Bilateral Ballism on Neurological Examination - Movement Disorders

In this case caused by Bilateral limb-shaking transient ischemic
Bilateral Ballism ... Examination - Movement ... caused by Bilateral ... clinical #video #neurology ... #movement #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 ... abnormal extraocular movements ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
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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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
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... Guillain-Barré syndrome ... Hyperthyroidism, Serotonin syndrome ... differential #diagnosis #table ... #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... Skew Deviation Casey ... #Extraocular #Movement ... ophthalmology #neurology
One-and-a-Half Syndrome
1 - One eye cannot move AT ALL horizontally
1/2 - The other eye can only
One-and-a-Half Syndrome ... possible horizontal movements ... Unilateral BRAINSTEM ... OneAndAHalf #One #Half #Syndrome ... #diagnosis #neurology
Bilateral Chorea–Ballismus on Neurological Examination - Movement Disorders

This case was in nonketotic hyperglycemia.

#Bilateral #chorea #Ballism #ballismus
Bilateral Chorea–Ballismus ... Disorders This case ... #Bilateral #chorea ... clinical #video #neurology ... #movement #physicalexam
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