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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13 results
Marcus Gunn Phenomenon - Jaw Winking Syndrome

Jaw-winking syndrome is thought to be caused by abnormal innervation
Winking Syndrome ... Jaw-winking ... to be caused by ... #Winking #Syndrome ... #physicalexam #
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Marcus-Gunn Jaw Winking Ptosis

Marcus Gunn Jaw Winking Ptosis is the most common form of congenital neurogenic
Caused by connection ... of trigeminal nerve ... of oculomotor nerve ... clinical #video #neurology ... #ophthalmology
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Marcus Gunn Phenomenon - Jaw Winking Syndrome

Jaw-winking ptosis is thought to be caused by abnormal innervation
Winking Syndrome ... Jaw-winking ... thought to be caused ... #Winking #Syndrome ... #physicalexam #
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Marcus Gunn Phenomenon - Jaw Winking Syndrome

Jaw-winking ptosis is thought to be caused by abnormal innervation
Winking Syndrome ... Jaw-winking ... thought to be caused ... #Winking #Syndrome ... #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
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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Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
both blocking and binding ... and the ice pack test ... Myasthenia #Gravis #PhysicalExam ... clinical #video #ophthalmology ... #neurology
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Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... Commonly caused ... damage to peroneal nerve ... Myotomes #diagnosis #neurology ... sensory #motor #leg #physicalexam
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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Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... Incidence: 1 to 2 cases ... difficulty with walking ... and sensitive tests ... diagnosis #management #neurology