Dr. Gerald Diaz @GeraldMD
24.0M 13.9K 7.3K
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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Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... ptotic eyelid will cause ... Myasthenia #Gravis #PhysicalExam ... #Maneuvers #Diagnosis ... #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
females Differential Diagnosis ... abnormal extraocular movements ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
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
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Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Symptoms worse with movement ... Associated with nausea ... #differential #diagnosis ... #neurology #management
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Casey Albin MD @ ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Brandt Daroff Exercise for Treatment of BPPV
This maneuver resembles the Semont maneuver. Also, this maneuver is
Semont maneuvers ... until the vertigo eases ... positional #vertigo #neurology ... clinical #video #physicalexam ... #management
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One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
(no horizontal movement ... The most common causes ... the hospital, diagnosed ... Half #Syndrome #PhysicalExam ... ophthalmology #neurology
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Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Semont Liberatory Maneuver ... the examination table ... positional #vertigo #neurology ... clinical #video #physicalexam ... #management
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Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Semont Liberatory Maneuver ... the examination table ... positional #vertigo #neurology ... clinical #video #physicalexam ... #management
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Dix-Hallpike Maneuver for the Diagnosis of BPPV (Animated)

The Dix–Hallpike test (Nylen Barany test) is a diagnostic
Dix-Hallpike Maneuver ... for the Diagnosis ... But in undefined cases ... #neurology #Animated ... #PhysicalExam
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