Dr. Gerald Diaz @GeraldMD
48.7M 14.2K 7.5K
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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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
Possible Causes of Altered Urine Color 

Red 
    Foods: beets, blackberries, rhubarb
Causes of Altered Urine ... urinary tract infections ... urinary tract infection ... #Differential #Diagnosis ... #Nephrology
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 • Bacterial: Escherichia
: Secondary to infections ... (Goodpasture's syndrome ... kidney #blood #urine ... #management #treatment ... #nephrology
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
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... Urinary tract infections ... Fatty - Nephrotic syndrome ... edgarvlermamd - Nephrology ... #Nephrology
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... can be either infectious ... or non-infectious ... #Microscopy #nephrology ... interpretation #diagnosis
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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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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Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Measure urine osmolality ... demyelination syndrome ... #Differential #Diagnosis ... #nephrology #sodium
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... to a preceding infection ... and cauda equina TREATMENT ... Guillain #Barre #Syndrome ... #neurology