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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9 results
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
These abnormal eye movements ... Diagnosis: Congenital ... Cooper Neurology ... #PhysicalExam # ... #ophthalmology
β–Ί
Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: β€’ ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: β€’ CN ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... macropsia), color, movement ... β€’ CNS: parietal ... #diagnosis #neurology ... #differential
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
(no horizontal movement ... the hospital, diagnosed ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology
β–Ί
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
Characteristic eye movements ... The differential ... #Vertical #Ophthalmology ... #Neurology #Clinical ... Video #Ocular #PhysicalExam
β–Ί
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 β€’ Knee - L2, L3, L4
 β€’ Ankle - S1
and Myotomes Reflexes ... β€’ Cauda Equina Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 β€’ Abduction - C5,C6 (axillary)
 β€’ Adduction - C6, C7,
, T1 (median) Reflexes ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam