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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30 results
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
9.2, LR- 0.09 Best ... test characteristics ... #physicalexam #diagnosis ... #neurology #cva
Pronator Drift (Pyramidal Drift) on Physical Exam

Testing showed pronator drift on the left side in this
the 50-second test ... PhysicalExam #clinical #video ... #neurology #cva
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The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... a stand-alone test ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior #CVA
Ice-pack Test for Myasthenia Gravis - Likelihood Ratio (LR) +24 / -0.16
Ice pack's can be used
Ice-pack Test for ... VA Joint Chiefs ... BostonChiefs #Icepack #Test ... #physicalexam #neurology ... #diagnosis
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 β€’ Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
- Differential Diagnosis ... Algorithm and Management ... SCVMCMed #Stroke #CVA ... #Algorithm #management ... #neurology #treatment
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential Diagnosis ... & desmopressin test ... Hypernatremia #Management ... Algorithm #Sodium #nephrology
Indications for tPA in Stroke:
 β€’ Clinical diagnosis of ischemic stroke
 β€’ Measurable neurologic deficit
 β€’
: β€’ Clinical diagnosis ... β€’ Measurable neurologic ... #tPA #Stroke #cva ... #management #neurology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - Management ... Angina Stress Test ... ischemia -> Coronary CTA ... Angina #ChestPain #Diagnosis ... #Management #Algorithm
Invasive Candidiasis (IC)

Diagnosis:
Culture:
 β€’ Gold standard, but Slow (~2-3 days), 50% sensitivity
 β€’ Blood Sample
 β€’
Candidiasis (IC) Diagnosis ... Non-culture-based tests ... β€’ Molecular Tests ... Funduscopic Exam β€’ CVC ... #management #candida
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
alternating light test ... swinging-flashlight test ... very sensitive diagnostic ... Pupillary #Defect #Neurology ... #Clinical #Video
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