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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34 results
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
Woltman’s sign on ... — Woltman’s sign ... evaluation confirmed a diagnosis ... Woltman’s sign, ... #Woltmans #Signs
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Lazarus Sign / Reflex in Brain Death - Head Flexion

The presence of this complex spinal reflex
Lazarus Sign / Reflex ... ( Lazarus sign) ... the brain death diagnosis ... or Lazarus sign ... #BrainDead #Neurology
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Lazarus Sign / Reflex in Brain Death - Head Turn

The presence of this complex spinal reflex
Lazarus Sign / Reflex ... ( Lazarus sign) ... the brain death diagnosis ... or Lazarus sign ... #BrainDead #Neurology
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Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... and Differential Diagnosis ... clinical context and signs ... • Cardio-renal syndrome ... #AKI #Workup #Algorithm
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... Algorithm • Confirm ... → Refer to Nephrology ... cystoscopy • Refer ... #Algorithm #Workup
Algorithm for Differentiating Gitelman syndrome from Bartter syndrome
 • Urine Chloride
 • Urine Ca/Cr ratio

Dr. Krithika
• Urine Chloride ... • Urine Ca/Cr ... #Bartter #Algorithm ... #nephrology #hypokalemia ... #diagnosis
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... dysmorphic RBCs in urine ... #Comparison #Algorithm ... #Nephrology #Diagnosis
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... • Ophthalmologic ... Cardiovascular and vital sign ... Symptoms #spectrum #signs ... #diagnosis
Woltman’s sign on Physical Exam - Hi-Res .mp4 version here: https://www.grepmed.com/images/13248

53-year-old man presented with fatigue and
Woltman’s sign on ... — Woltman’s sign ... evaluation confirmed a diagnosis ... Woltman’s sign, ... , is a neurologic
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Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
Parinaud's Syndrome ... retraction (Collier's sign ... → "setting sun sign ... #diagnosis #pineal ... #neurology