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 vertigo clinical video instructions maneuver nephrology ophthalmology positional hyponatremia liberatory semont sodium adies algorithm alice anesthesia anesthesiology brandt checklist
Peripheral Vertigo Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo. Benign
distinguishing between causes ... Positional Vertigo (BPPV ... Reproducible with certain movements ... Peripheral #Vertigo #differential ... diagnosis #comparison #table
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
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 #
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Guillain-Barré syndrome ... Hyperthyroidism, Serotonin syndrome ... #differential # ... diagnosis #table ... #neurology
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
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
Hypermagnesemia - Etiologies by Mechanism Renal Failure Excessive Mg Administration - Massive PO intake
- Tumor lysis syndrome ... Hypermagnesemia #Differential ... High #Magnesium #Table ... #Causes #Management
Priapism Secondary Causes: Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine Any hyperviscosity syndrome (SCD, leukemia,
Secondary Causes ... hyperviscosity syndrome ... Priapism #Diagnosis #Management ... #Urology #Differential
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Locked-in syndrome ... Casey Albin MD @ ... caseyalbin #PhysicalExam ... #neurology #comatose
Dizziness and Vertigo Algorithm Presyncope: • Feels "faint" or like they are going to "pass out" •
Symptoms worse with movement ... Associated with nausea ... Algorithm #dizzy #differential ... #diagnosis #neurology ... #management
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