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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The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
and negative (normal ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior #CVA
Classification of Neonatal Seizures
Subtle 
Clonic 
 - Focal 
 - Multifocal 
Tonic 
 - Focal
Classification #Diagnosis ... #Peds #Pediatrics ... #Neurology
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
between them PEDS ... seizures #management #treatment ... #algorithm #peds ... #pediatrics #neurology
Phimosis 
Inability to retract the foreskin - Can be normal up to 3 years old -
foreskin - Can be normal ... after age 4 Treatment ... anatomic position β€’ Urologic ... Paraphimosis #Comparison #Diagnosis ... #Urology
The asphyxia escape reflex is assessed by placing the child in the prone position on the
clinical #video #Neurology ... #Peds #Pediatrics ... #Normal #Primitive
β–Ί
How do you work up an ischemic CVA?
A) Initial Evaluation
 β€’ ABCs
 β€’ IV access, monitor
up an ischemic CVA ... Evaluate underlying cause ... Ruled out other causes ... stroke #workup #diagnosis ... #checklist #neurology
Causes of Polyneuropathy - Differential Diagnosis Algorithm
 β€’ Metabolic: DM, Hypothyroidism, CKD, Cirrhosis, Nutritional deficiency
 β€’
Causes of Polyneuropathy ... - Differential Diagnosis ... β€’ Toxic: EtOH, Meds ... Mitochondrial issues - VA ... #neurology
Salter Harris Fractures - Pediatric Fractures of the Physis 
SALTR Mnemonic 

Salter Harris I 
Straight through
ortho treatment ... Can present with normal ... ortho treatment ... #Peds #Orthopedics ... #Diagnosis #Management
Asymmetrical Tonic Neck Reflex (ATNR)

This primitive reflex found in newborn babies that normally vanishes around 4
newborn babies that normally ... clinical #video #Neurology ... #Peds #Pediatrics ... #Normal #Primitive
β–Ί
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
in patient with normal ... #physicalexam #diagnosis ... #neurology #cva