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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32 results
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... Guillain-BarrΓ© syndrome ... Hyperthyroidism, Serotonin syndrome ... #differential #diagnosis ... #table #neurology
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
Red blood cell casts ... Red blood cell casts ... edgarvlermamd - Nephrology ... Nephritic #Comparison #Table ... #Nephrology #Diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
maintained fever CAUSES ... Phaeochromocytoma Neurologic ... #Differential #Causes ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome ... patient is still able ... to copy Causes ... : Stroke (main cause ... #neurology #diagnosis
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 β€’ Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... ptotic eyelid will cause ... Myasthenia #Gravis #PhysicalExam ... #Maneuvers #Diagnosis ... #neurology
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
- Tumor lysis syndrome ... #Differential #Diagnosis ... High #Magnesium #Table ... #Causes #Management
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
Secondary Causes ... hyperviscosity syndrome ... #Priapism #Diagnosis ... #Management #Urology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 β€’ Abduction - C5,C6 (axillary)
 β€’ Adduction - C6, C7,
hand" Β± Horner Syndrome ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Pupillary Defect This maneuver ... very sensitive diagnostic ... regarding the cause ... Pupillary #Defect #Neurology ... Pupils #MacrusGunn #PhysicalExam
β–Ί
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
checklist Evaluation ... abdominal compartment syndrome ... limit them as able ... #Pancreatitis #Checklist ... #Diagnosis #Management