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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Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment ... of Hepatorenal Syndrome ... edgarvlermamd - Nephrology ... #HepatoRenal #Syndrome ... #Nephrology #Management
Simultagnosia on Physical Exam (Balint Syndrome)

The patient can recognize objects one at a time but cannot
Physical Exam (Balint Syndrome ... Simultagnosia #Balint #Syndrome ... clinical #video #neurology ... #ophthalmology
β–Ί
Acute Kidney Injury - Classification
Prerenal:
 β€’ Dehydration
 β€’ Heart failure (a.k.a. cardiorenal syndrome)
 β€’ Liver failure
a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... disease - Post-infectious ... Urinary tract infection ... Classification #diagnosis #nephrology
Korsakoff Syndrome
Clinical Findings:
 β€’ Confabulation: Usually initial phase of the disease
 β€’ Anterograde amnesia: Memory impairment
Korsakoff Syndrome ... Therefore, Korsakoff Syndrome ... Encephalopathy Treatment ... neudrawlogy #Korsakoff #Syndrome ... #neurology #diagnosis
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Nystagmus in PSC BPPV ... semicircular canal BPPV ... Ocular #Nystagmus #BPPV ... #physicalexam #ophthalmology ... #neurology
β–Ί
Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 β€’ Aim for 10-25% BP reduction within
Encephalopathy Syndrome ... (PRES) - Treatment ... Encephalopathy #Syndrome ... #Treatment #Management ... #Neurology
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Epley Maneuver for Treatment ... of BPPV By Dr ... Epley #Maneuver #BPPV ... positional #vertigo #neurology
β–Ί
Hepatorenal Syndrome Treatment
Volume expansion: 
 β€’ Albumin (typical dose = 1g/kg on day 1 +/- day
Hepatorenal Syndrome ... Treatment Volume ... #Hepatorenal #Syndrome ... #Treatment #management ... #HRS #nephrology
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal Syndrome ... allopurinol), Infection ... , Alport Syndrome ... DAH, rule out infection ... differential #diagnosis #nephrology