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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clinical video diagnosis differential management half one oneandahalf pupil adies balint causes nephrology simultagnosia algorithm anisocoria anterior antibiotic apex argyll
Causes of Antibiotic Failure - Differential Diagnosis Framework Diagnosis: • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Diagnosis: • Non-Infectious ... NMS, serotonin syndrome ... Immunocompromise Treatment ... Source control (abscess ... • Secondary to Treatment
Simultagnosia on Physical Exam (Balint Syndrome) The patient can recognize objects one at a time but cannot
Physical Exam (Balint Syndrome ... Simultagnosia #Balint #Syndrome ... #PhysicalExam # ... clinical #video #neurology ... #ophthalmology
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 Argyll Robertson Pupil Definition: - Irregular and small (1-2mm) pupil - Light-near dissociation (accommodation remains intact) -
Usually bilateral - Abscent ... Robertson #Pupil #neurology ... #diagnosis #ophthalmology ... #physicalexam
Causes of Seizures - Differential Diagnosis Algorithm Unprovoked - Epilepsy: • Focal: Simple, Complex • Generalized: Absence,
vasoconstriction syndrome ... brain injury • Infectious ... Encephalitis, Brain Abscess ... Algorithm #Causes #neurology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
Diagnosis- Compatible syndrome ... splenomegaly Other infections ... multiple lesions Infectious ... Syphilis • Pyogenic Abscess ... causes #radiology #neurology
Adie's Pupil on Physical Exam Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
viral or bacterial infection ... #Adies #Pupil #PhysicalExam ... clinical #video #ophthalmology ... #neurology #syndrome
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 Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... or induced by treatment ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria
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 Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Neurological Manifestations of Tuberculosis Spinal Arachnoiditis & Polyradiculopathy: • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
Reconstitution Inflammatory Syndrome ... Worsening of previous neurologic ... stroke Tuberculous Abscess ... and not direct infection ... differential #TB #neurology
Hematuria in Post-Renal Transplant Patient Prevalence up to 12% in the postrenal transplant patient • Bacterial: Escherichia
: Secondary to infections ... (Goodpasture's syndrome ... urine #management #treatment ... #nephrology
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