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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12 results
Marcus Gunn Phenomenon - Jaw Winking Syndrome

Jaw-winking syndrome is thought to be caused by abnormal innervation
Winking Syndrome ... to be caused by ... the trigeminal nerve ... clinical #video #neurology ... #physicalexam #
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Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Marcus Gunn Phenomenon - Jaw Winking Syndrome

Jaw-winking ptosis is thought to be caused by abnormal innervation
Winking Syndrome ... thought to be caused ... the trigeminal nerve ... clinical #video #neurology ... #physicalexam #
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Marcus Gunn Phenomenon - Jaw Winking Syndrome

Jaw-winking ptosis is thought to be caused by abnormal innervation
Winking Syndrome ... thought to be caused ... the trigeminal nerve ... clinical #video #neurology ... #physicalexam #
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Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
acetate to help with ocular ... other potential causes ... clinical #video #ophthalmology ... #physicalexam # ... neurology
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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
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... threat Cranial Nerves ... • Vestibulo-ocular ... caseyalbin #PhysicalExam ... #neurology #comatose
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... very remarkable w/differential ... the “Chewing gum test ... identifies 85 to 95% of cases ... required +/- prompt ophthalmology
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
soles in 50% of cases ... neurosyphilis, cranial nerve ... - Ocular syphilis ... and nephrotic syndrome ... have positive serology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... suggest oculomotor nerve ... clinical #video #ophthalmology ... #physicalexam # ... neurology
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