Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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9 results
Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... #differential #diagnosis
The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... threat Cranial Nerves ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 β€’ Abduction - C5,C6 (axillary)
 β€’ Adduction - C6, C7,
hand" Β± Horner Syndrome ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... dissociation β€’ Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 β€’ Knee - L2, L3, L4
 β€’ Ankle - S1
β€’ Cauda Equina Syndrome ... Commonly caused ... damage to peroneal nerve ... #neurology #sensory ... #motor #leg #physicalexam
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
(no horizontal movement ... The most common causes ... the hospital, diagnosed ... #PhysicalExam # ... ophthalmology #neurology
β–Ί
Guillain-BarrΓ© Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 β€’ Incidence: 1
Guillain-BarrΓ© Syndrome ... Incidence: 1 to 2 cases ... and sensitive tests ... Guillain #Barre #Syndrome ... #neurology
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
soles in 50% of cases ... neurosyphilis, cranial nerve ... and nephrotic syndrome ... have positive serology ... Latent #Tertiary #Diagnosis
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
Diagnostic algorithm ... components: targeted neurologic ... disposition, even if the cause ... acute vestibular syndrome ... Exam #Vestibular #Syndrome