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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differential management physicalexam clinical encephalopathy thiamine video wernicke adies anisocoria barre blood causes disorders extraocular gbs guillain half hematuria horners
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management Diagnosis - Caine Criteria (2 of
Anorexia nervosa Treatment ... Encephalopathy • A prompt treatment ... development of Korsakoff syndrome ... (chronic B1 deficiency ... #neurology #nutrition
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Oculomotor) Nerve Palsy ... One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Korsakoff Syndrome Clinical Findings: • Confabulation: Usually initial phase of the disease • Anterograde amnesia: Memory impairment
Korsakoff Syndrome ... presentation of Thiamine deficiency ... Therefore, Korsakoff Syndrome ... Encephalopathy Treatment ... #neurology #diagnosis
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... : • CN Ill Palsy ... #PhysicalExam #neurology ... #ophthalmology
Etiologies of Peripheral Neuropathy • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism • Medication-induced: ART, Antibiotics,
Nutritional: DiabetesB12 deficiency ... Chemotherapy • Infectious ... Paraprotein-associated (POEMS syndrome ... #differential #diagnosis ... #causes #neurology
Wernicke Encephalopathy - Triad Encephalopathy • Disorientation • Indifference • Inattentiveness Ocular motor dysfunction
Lateral rectus palsy ... Encephalopathy #Syndrome ... #Triad #Diagnosis ... #Neurology #Thiamine ... #Deficiency
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
One and a Half Syndrome ... with a right gaze palsy ... the hospital, diagnosed ... clinical #video #ophthalmology ... #neurology
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 Hematuria in Post-Renal Transplant Patient Prevalence up to 12% in the postrenal transplant patient • Bacterial: Escherichia
: Secondary to infections ... (Goodpasture's syndrome ... #differential #diagnosis ... urine #management #treatment ... #nephrology
Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... or induced by treatment ... clinical #video #ophthalmology ... #physicalexam #neurology
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 The Stages of Syphilis Primary Syphilis - The chancre lesion is the hallmark of primary syphilis.
Without treatment ... and nephrotic syndrome ... to asymptomatic infection ... to those of B12 deficiency ... Latent #Tertiary #Diagnosis
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