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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14 results
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
- Caine Criteria ... Anorexia nervosa Treatment ... Encephalopathy β€’ A prompt treatment ... development of Korsakoff syndrome ... #Management #neurology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 β€’ ↑ Creatinine
Hepatorenal Syndrome ... (HRS) - Diagnostic ... Criteria HRS-AKI ... , Normal renal ultrasound ... #diagnosis #HRSAKI
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
Pisa Syndrome (pleurothotonus ... Caused commonly ... Treatment: anticholinergics ... pleurothotonus #PhysicalExam ... #clinical #neurology
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Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Treatment depends ... maintained fever CAUSES ... Phaeochromocytoma Neurologic ... #Differential #Causes ... Anesthesia #Checklist #Diagnosis
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF β†’ occurs
Streptococcal Toxic Shock Syndrome ... GAS in 30% of cases ... 50% in nec fasc Diagnostic ... Criteria: β€’ Isolation ... #STSS #treatment
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... or induced by treatment ... ophthalmology #physicalexam ... #neurology #Anisocoria
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Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Then, ask 3 questions ... demyelination syndrome ... #Differential #Diagnosis ... #nephrology #sodium
Myasthenia Gravis - Summary
 β€’ an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
50 years in men Diagnosis ... serologic, and EMG ... More likely to cause ... glucocorticoids - can cause ... #management #neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
acyclovir 10mg/kg ... receive proper treatment ... is no mainstay treatment ... ophthalmology #physicalexam ... #neurology
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One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
The most common causes ... the hospital, diagnosed ... with MS, and started ... #PhysicalExam # ... ophthalmology #neurology
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