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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Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Causes of Hyporeflexia ... Hyperreflexia #Testing ... #diagnosis #table ... #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
TylerLarsenMD #HINTS #physicalexam ... Peripheral #Vertigo #diagnosis ... #neurology #bppv ... #comparison #table
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a peripheral cause ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #HeadImpulse #Testing
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Nystagmus in PSC BPPV ... Maneuver This is a case ... anti-clockwise nystagmus beating ... clinical #video #physicalexam ... ophthalmology #neurology
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Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... production to cause ... #cardiology #management ... #diagnosis
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... ptotic eyelid will cause ... Hering's law) • Testing ... Myasthenia #Gravis #PhysicalExam ... #neurology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Hyponatremia is usually caused ... up to 3x in the setting ... #Treatment #management ... #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... Cerebral Salt Wasting ... #differential #diagnosis ... #table #sodium ... #nephrology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
EOM testing displayed ... The most common causes ... the hospital, diagnosed ... Half #Syndrome #PhysicalExam ... ophthalmology #neurology
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Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
Maneuver for the Diagnosis ... of BPPV The Dix–Hallpike ... But in undefined cases ... #BPPV #neurology ... #PhysicalExam
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