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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neurology diagnosis physicalexam management clinical differential video adies algorithm apex binders blood comatose evaluation hematuria hepatorenal horners hrs hunt hyperkalemia
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
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
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... • 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 ... or induced by treatment ... clinical #video #ophthalmology ... #physicalexam #neurology ... #Anisocoria
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 Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
secondary to Herpes ... receive proper treatment ... is no mainstay treatment ... clinical #video #ophthalmology ... #physicalexam #neurology
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 Tolosa-Hunt Syndrome What? • Unilateral orbital/retrobulbar pain • Paresis of the cranial nerves Ill, IV, VI •
Tolosa-Hunt Syndrome ... of the cranial nerves ... or orbit (MRI) Treatment ... #Tolosa #Hunt #Syndrome ... #TolosaHunt #neurology
Hematuria in Post-Renal Transplant Patient Prevalence up to 12% in the postrenal transplant patient • Bacterial: Escherichia
Cytomegalovirus, Herpes ... (Goodpasture's syndrome ... urine #management #treatment ... #nephrology
Potassium Binders for Management of Hyperkalemia • SPS - Sodium polystyrene sulfonate • Patiromer (veltassa) •
#Hyperkalemia #treatment ... #pharmacology # ... table #comparison ... #nephrology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... threat Cranial Nerves ... Pupils: • Anisocoria ... #PhysicalExam #neurology
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