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.
Anisocoria Evaluation ... If anisocoria iS ... - Horner's Syndrome ... CN III Palsy - Pharmacologic ... Differential #Diagnosis #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
or induced by treatment ... #clinical #video ... #ophthalmology ... #physicalexam #neurology ... #Anisocoria
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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 ... #HepatoRenal #Syndrome ... #Pharmacology # ... Medications #Treatment
Central Retinal Artery Occlusion (CRAO) vs Central Retinal Vein Occlusion (CRVO) - A Comparison Table

Clinical Features,
Occlusion (CRVO) - A Comparison ... Table Clinical ... Diagnosis and Treatment ... #CRAO #CRVO #Ophthalmology ... #Artery #Vein #Comparison
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Holmes-Adie Syndrome ... β€’ Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
a sudden onset anisocoria ... Clinical confirmation ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
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Simultagnosia on Physical Exam (Balint Syndrome)

The patient can recognize objects one at a time but cannot
Physical Exam (Balint Syndrome ... Simultagnosia #Balint #Syndrome ... #PhysicalExam #clinical ... #video #neurology ... #ophthalmology
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Korsakoff Syndrome
Clinical Findings:
 β€’ Confabulation: Usually initial phase of the disease
 β€’ Anterograde amnesia: Memory impairment
Korsakoff Syndrome ... Clinical Findings ... Therefore, Korsakoff Syndrome ... Encephalopathy Treatment ... #neurology #diagnosis
Hordeolum vs Chalazion

Hordeolum (Stye):
 β€’ Location: Most commonly found at or near an eyelash follicle
 β€’
, swelling β€’ Treatment ... painless lump β€’ Treatment ... eyedrops, surgery #Clinical ... Diagnosis #Management #Ophthalmology ... Stye #Chalazion #Comparison
Drugs Used for the Treatment of COVID-19 Infection

** Editor Note (from ophthalmology MD input) - Hydroxychloroquine/chloroquine
Drugs Used for the Treatment ... Editor Note (from ophthalmology ... HCQ treatment would ... highlighted circle= clinical ... #COVID19 #Pharmacology