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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algorithm causes physicalexam clinical framework hyponatremia hypophosphatemia phosphate sodium acute adies aki anisocoria calcium disorders extraocular gerstmann half horners hypercalcemia
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Oculomotor) Nerve Palsy ... One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Workup of Hypercalcemia - Differential Diagnosis Algorithm High or Normal PTH: • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... - Differential ... Diagnosis Algorithm ... disease, Viral Syndromes ... #Workup #nephrology
Workup for Hyperphosphatemia - Differential Diagnosis Framework Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Workup for Hyperphosphatemia ... - Differential ... Diagnosis Framework ... Rhabdomyolysis, Tumor lysis syndrome ... #nephrology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN ... Ill Palsy - ... #PhysicalExam #neurology ... #ophthalmology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... Diagnosis Baseline ... • Cardio-renal syndrome ... #Injury #AKI #Workup ... #Diagnosis #nephrology
Hypocalcemia Workup - Differential Diagnosis Algorithm • Low Magnesium, High Magnesium - Functional Hypoparathyroidism • High
Hypocalcemia Workup ... - Differential ... Diagnosis Algorithm ... metastases, Hungry bone syndrome ... #nephrology #calcium
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential ... Diagnosis Framework ... #Workup #phosphate ... #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia - Differential ... Diagnosis Algorithm ... #Diagnosis #Algorithm ... #nephrology #phosphorus ... #workup
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
the follow up video ... the hospital, diagnosed ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology
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 Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Guillain-Barré syndrome ... Hyperthyroidism, Serotonin syndrome ... Testing #Causes #differential ... #diagnosis #table ... #neurology
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