Dr. Gerald Diaz @GeraldMD
24.0M 13.9K 7.3K
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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14 results
Ice-pack Test for Myasthenia Gravis - Likelihood Ratio (LR) +24 / -0.16
Ice pack's can be used
Ice-pack Test for ... effectively increasing ACh ... BostonChiefs #Icepack #Test ... #physicalexam #neurology
Marcus Gunn Pupil - Relative Afferent Pupillary Defect (RAPD)
Definition: Afferent loop of the pupillary light reflex
Optic nerve* (main ... Retina, Macula Main ... due to MS How to test ... swinging light test ... #Defect #RAPD #neurology
Acute Treatment of Migraine
Mild Attacks: NSAIDs, Simple Analgesics
Moderate/Severe Attacks: Triptans, Ditans, Gepants, Ergots
Non-pharmacologic Treatment: Neuromodulation, Rest,
Gepants, Ergots Non-pharmacologic ... Neuromodulation, Rest ... treatment #management #neurology
Immunosuppression in Transplantation
Induction (I):
 - Basiliximab (Simulect)
 - Alemtuzumab (Campath)
 - Rituximab
 - Anti-Thymocyte Globulin (ATG)
Induction
Anti-Thymocyte Globulin (ATG ... #Medications #Pharmacology ... Maintenance #Management #Nephrology
Migraine - Preventative Treatments

 β€’ Anticonvulsants: *Topiramate, *Sodium valproate, Gabapentin, Pregabalin
 β€’ Antidepressants: Amitriptyline, Venlafaxine, Duloxetine,
Beta-blockers, ACE ... prophylaxis #prevention #pharmacology ... #neurology
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Systemic N - Neurologic ... Patient Prefers to Rest ... Eye/Temple β€’ Pain ... quickly, deep pain ... secondary #management #neurology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
ABG And BMP Normal ... : Anion Gap (AG ... Pure Normal AG ... Hyperventilation (Anxiety, pain ... Diagnosis #Summary #Nephrology
Effects of Prostaglandins and NSAIDs on the Kidney
Effects of Prostaglandins on the Kidney:
 β€’ The vasodilatory
hormones that act ... increased in CKD ag ... Kidney #renal #nephrology ... #pharmacology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
suspected and anti-ACh ... and the ice pack test ... include a Tensilon test ... ophthalmology #neurology
β–Ί
Algorithm for the Treatment of Uremic Pruritus
Nonpharmacologic Treatments:
 β€’ Daily topical emollient
 β€’ Avoidance of extremes
Evidence-Based Off-Label Pharmacologic ... nalfurafine 2.5 mcg ... Treatment #management #nephrology