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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7 results
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
extensor weakness - Sign ... In detecting CT/MRI ... test characteristics ... Testing #Stroke #physicalexam ... #diagnosis #neurology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
female with chest pain ... Sister had MI in ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c #clinical
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Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
It is a clear sign ... very sensitive diagnostic ... Pupillary #Defect #Neurology ... #Clinical #Video ... Pupils #MacrusGunn #PhysicalExam
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Major neurocognitive disorders (MNCD): Diagnosis and workup 

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)
workup 1) Clinical ... ... laboratory tests ... MRI, iADL scale, ... (parkinsonian signs ... MNCD #Dementia #Differential
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
• Pain worsens ... for secondary signs ... Differential diagnosis ... similar location of pain ... #mri #clinical
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Possible responses to pain ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... Diagnosis = clinical ... systemic sx + signs ... very remarkable w/differential ... the “Chewing gum test