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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diagnosis clinical management physicalexam video differential causes bppv instructions maneuver positional benign epley paroxysmal acute aki algorithm half kidney microscopy
Peripheral and Central Causes of Vertigo Peripheral Causes (Common): - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Central Causes of Vertigo ... fistula, Cogan's syndrome ... as a "central vertigo ... Wallenberg syndrome ... differential #diagnosis #neurology
Lateral Medullary Syndrome - Wallenberg's Syndrome Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Lateral Medullary Syndrome ... - Wallenberg's Syndrome ... Acute continuous vertigo ... Nausea/vomiting/vertigo ... #Wallenbergs #neurology
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
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 Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • 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: • Confabulation: Usually initial phase of the disease • Anterograde amnesia: Memory impairment
Korsakoff Syndrome ... Therefore, Korsakoff Syndrome ... Encephalopathy Treatment ... neudrawlogy #Korsakoff #Syndrome ... #neurology #diagnosis
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment Blood pressure control: • Aim for 10-25% BP reduction within
Encephalopathy Syndrome ... (PRES) - Treatment ... Encephalopathy #Syndrome ... #Treatment #Management ... #Neurology
Hepatorenal Syndrome Treatment Volume expansion: • 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
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