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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12 results
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
dancing” of the iris ... elicited by rapid movement ... occurs with eye movement ... with Marfan’s syndrome ... PhysicalExam #Video #Ophthalmology
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Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... #Extraocular #Movement ... #Localization #ophthalmology ... #neurology #differential
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Evaluation Flow Chart - Differential ... - Horner's Syndrome ... Pupil - Traumatic Iris ... Evaluation #Algorithm #Differential ... #Diagnosis #Ophthalmology
Purtscher Retinopathy on Fundoscopy Ocular Examination

33 year-old who presents 2 weeks after car accident.  Fundus
Purtscher Retinopathy ... on Fundoscopy Ocular ... with Purtscher syndrome ... clinical #video #ophthalmology ... #Fundoscopy
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Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... abnormal extraocular movements ... #PhysicalExam #neurology ... #ophthalmology
Causes of Anterior Uveitis - Differential Diagnosis
Anterior Uveitis - 90% of cases of Uveitis
 • Inflammation
Anterior Uveitis - Differential ... eye • Anterior-iris ... Posner-Schlossman Syndrome ... Anterior #Uveitis #Differential ... Diagnosis #Causes #ophthalmology
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... macropsia), color, movement ... Alice #Wonderland #Syndrome ... #diagnosis #neurology ... #differential
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
dancing” of the iris ... elicited by rapid movement ... occurs with eye movement ... with Marfan’s syndrome ... PhysicalExam #Video #Ophthalmology
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The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... Rapid downward movement ... #PhysicalExam #neurology
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
Reconstitution Inflammatory Syndrome ... (IRIS): • In HIV ... Worsening of previous neurologic ... Tuberculosis #diagnosis #differential ... #TB #neurology