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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Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Flow Chart - Differential ... If anisocoria iS ... - Horner's Syndrome ... Evaluation #Algorithm #Differential ... #Diagnosis #Ophthalmology
Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
Extraocular Movement Disorders ... One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... dissociation β€’ Other causes ... β€’ Physiologic Anisocoria ... PhysicalExam #neurology #ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... experience, the cause ... or induced by treatment ... clinical #video #ophthalmology ... physicalexam #neurology #Anisocoria
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Causes of Anterior Uveitis - Differential Diagnosis
Anterior Uveitis - 90% of cases of Uveitis
 β€’ Inflammation
Uveitis - Differential ... elderly patient is ... Anterior #Uveitis #Differential ... #Diagnosis #Causes ... #ophthalmology
Irritable Bowel Syndrome (IBS) - Management
Global IBS Symptoms:
  - Limited trial low FODMAP diet
Irritable Bowel Syndrome ... Rifaximin- up to 3 courses ... Irritable #Bowel #Syndrome ... #Management #gastroenterology ... #treatment
Confabulation
What? Honest Lie.  
No incoming sensory information + Filling of the blanks with different information
and thinks it is ... Disease, Anton's Syndrome ... Blindness, Psychiatric Disorders ... Confabulation #differential ... #diagnosis #causes
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 β€’ Use a positive diagnostic strategy with
Irritable Bowel Syndrome ... for diagnosis Treatment ... Rifaximin- up to 3 courses ... Irritable #Bowel #Syndrome ... #treatment
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
a neurological disorder ... It is caused by ... infection which causes ... clinical #video #ophthalmology ... #neurology #syndrome
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Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
Respiratory Failure - Differential ... obesity-hypoventilation syndrome ... OSA DIFFUSION DISORDER ... Occurs when blood is ... hepatopulmonary syndrome