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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20 results
Abnormal Doll's Eye (Oculocephalic) Reflex on Physical Examination

Normally, a patient's eyes should move in the opposite
Abnormal Doll's ... Oculocephalic) Reflex ... Examination Normally ... clinical #video #neurology ... #ophthalmology
β–Ί
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 β€’ Acute renal failure
 β€’ Chronic renal failure
 β€’ Drugs
Increased
Hyperkalemia: Diagnostic algorithm ... Supplementation (oral ... Nephropathy Renin Normal ... Hyperkalemia #Diagnosis #algorithm ... #nephrology #potassium
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 β€’ High Al, Low R - Primary aldosteronism
 β€’ High Al, High
Differential Diagnosis Algorithm ... Hyperplasia β€’ Normal ... Al, Normal R - ... #nephrology #causes ... #low #potassium
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Extra-renal Losses: β€’ Normal ... Differential #Diagnosis #Algorithm ... #causes #potassium ... #low #nephrology
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
reexposed to light; β€’ Normal ... Ill Palsy - abnormal ... dissociation β€’ Other causes ... #PhysicalExam #neurology ... #ophthalmology
Orbicularis Reflex in an Alzheimer's Patient on Physical Exam

Alzheimer's is a degenerative, progressive and irreversible disease.
Orbicularis Reflex ... time, and can cause ... delusions and, in some cases ... examination is usually normal ... clinical #video #neurology
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Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... treated with IV potassium ... wasting from other causes ... consumption β€’ Low/Normal ... #nephrology #low
The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
etiology of coma Abnormal ... movements; also normal ... flexion withdrawal, abnormal ... decortication), abnormal ... #PhysicalExam #neurology
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
this specific case ... the patient to relax ... Hoffmanns #Sign #Reflex ... #Positive #Abnormal ... clinical #video #neurology
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Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Algorithm for patients ... syndrome Low-normal ... Distal RTA Low-normal ... #differential #algorithm ... #diagnosis #nephrology