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 ... - Horner's ... Syndrome - Physiologic ... III Palsy - Pharmacologic ... Differential #Diagnosis #Ophthalmology
All About Horner's Syndrome

Horner's syndrome, known as 
"oculosympathetic paresis" by people 
who don't have friends, is
Syndrome Horner's ... Horner's svndrome ... and discovered a syndrome ... #Ophthalmology ... #Diagnosis #Neurology
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 ... #video #ophthalmology ... #physicalexam #neurology ... #Anisocoria
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Horner's Syndrome
 β€’ Anhidrosis: Diminished sweating of ipsilateral face and neck
 β€’ Miosis: Loss of sympathetic
Horner's Syndrome ... Ptosis is mild in comparison ... @neudrawlogy #Horners ... #Syndrome #diagnosis ... #neurology
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
CN III Palsy - Oculomotor Nerve
 β€’ Ptosis: Loss of innervation of the levator palpebrae superior.
Ptosis is severe in comparison ... to Horner's syndrome ... Nerve #Cranial #neurology
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
Potassium Binders for Management of Hyperkalemia
 β€’ SPS - Sodium polystyrene sulfonate
 β€’ Patiromer (veltassa)
 β€’
#Hyperkalemia #treatment ... #pharmacology # ... table #comparison ... #nephrology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... receive proper treatment ... is no mainstay treatment ... clinical #video #ophthalmology ... #physicalexam #neurology
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