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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physicalexam clinical video algorithm symptoms workup barre dangerous guillain headache headaches horners nephrology neuropathy parinauds peripheral table vertigo abdominal acute
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Diagnosis Baseline ... clinical context and signs ... cryoglobulins, hepatitis serology ... , HIV serology, ... #Diagnosis #nephrology
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
SNOOP mnemonic may catch potentially life-threatening headaches Systemic signs and disorders Neurologic symptoms Onset new or changed & patient
headaches Systemic signs ... and disorders Neurologic ... mnemonic #headaches #Differential ... #Diagnosis #headache ... redflag #dangerous #neurology
Parinaud's syndrome What? • Light-near dissociation (tectal pupils) • Convergence retraction nystagmus • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... retraction (Collier's sign ... "setting sun" sign ... neudrawlogy #Parinauds #syndrome ... #neurology #diagnosis
Bell's Phenomenon on Physical Exam Carles Bell realized that when trying to close the eye on the
Physical Exam Carles ... Bells #Phenomenon #Sign ... #PhysicalExam #ophthalmology ... #neurology
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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
Priapism Secondary Causes: Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine Any hyperviscosity syndrome (SCD, leukemia,
Secondary Causes ... hyperviscosity syndrome ... #Priapism #Diagnosis ... #Management #Urology ... #Differential
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Guillain-Barré syndrome ... Hyperthyroidism, Serotonin syndrome ... #differential # ... diagnosis #table ... #neurology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... Diagnosis Portal ... significant portal HTN Signs ... obstruction) • Lack of signs ... #Diagnosis #causes
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
sliding/barcode sign ... Consolidations - "Shred" sign ... Respiratory Distress Syndrome ... #pulmonary #differential ... #diagnosis #signs
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