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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21 results
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... It is caused by ... infection which causes ... clinical #video #ophthalmology ... #neurology #syndrome
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Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... wasting from other causes ... A urine K/Cr ratio ... • Diarrhea A urine ... #nephrology #low
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... dissociation • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
the basis of the potassium-to-creatinine ... ratio in the urine ... Urine K+ <13 mEq ... #potassium #differential ... algorithm #diagnosis #nephrology
Marcus Gunn Pupil - Relative Afferent Pupillary Defect (RAPD)
Definition: Afferent loop of the pupillary light reflex
Marcus Gunn Pupil ... Optic nerve* (main cause ... ), Retina, Macula ... #Marcus #Gunn #Pupil ... #Defect #RAPD #neurology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Defining the cause ... renovascular HT, Renin-secreting ... diagnosis #algorithm #causes ... #nephrology #potassium
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Renovascular HTN, Renin ... Diagnosis #Algorithm #causes ... #potassium #low ... #nephrology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... In this case, the ... than 3mm in this case ... clinical #video #ophthalmology ... #physicalexam #neurology
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Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
renovascular HT, Renin-secreting ... Diagnosis #Algorithm #nephrology ... #causes #low #potassium