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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Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
Management Diagnosis ... ophthalmoplegia and nystagmus ... (chronic B1 deficiency ... #Diagnosis #Management ... #neurology #nutrition
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
Acute Thiamine (B1 ... ) Deficiency Clinical ... abnormalities (eg nystagmus ... #Deficiency #diagnosis ... #criteria #neurology
Wernicke Encephalopathy - Triad

Encephalopathy 
 β€’ Disorientation 
 β€’ Indifference 
 β€’ Inattentiveness 
Ocular motor dysfunction
Inattentiveness Ocular ... dysfunction β€’ Nystagmus ... #Triad #Diagnosis ... #Neurology #Thiamine ... #Deficiency
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... A nystagmus in far ... abduction with nystagmus ... the hospital, diagnosed ... ophthalmology #neurology
β–Ί
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
ICU due to short half-life ... Propofol infusion syndrome ... No pharmacologic ... #CriticalCare #diagnosis ... #management