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
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Adie's Pupil What ... Holmes-Adie Syndrome ... Young females Differential ... β€’ Physiologic Anisocoria ... PhysicalExam #neurology #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
is a neurological ... disorder characterized ... It is caused by ... clinical #video #ophthalmology ... #neurology #syndrome
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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 ... or induced by treatment ... how the right pupil ... clinical #video #ophthalmology ... physicalexam #neurology #Anisocoria
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Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
Consider refeeding syndrome ... nutrients β€’ TPN for treatment ... deficiencies) Dumping Syndrome ... after RYGB β€’ Disorder ... #diagnosis #differential
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... receive proper treatment ... Although there is ... no mainstay treatment ... clinical #video #ophthalmology
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The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Unresponsive wakefulness syndrome ... β€’ Locked-in syndrome ... Cough reflex Pupils ... : β€’ Anisocoria