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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108 results
Iridodonesis

Physical examination revealed iridodonesis, or β€œdancing” of the iris, which was elicited by rapid movement of
movement, is a sign ... characteristic sign ... with Marfan’s syndrome ... #PhysicalExam #Video ... #Ocular
β–Ί
Clinical Manifestations of Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... Ophthalmologic: Mydriasis, Ocular ... Cardiovascular and vital sign ... Symptoms #spectrum #signs ... #diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... #Hypokalemia #Differential ... #Diagnosis #Algorithm ... potassium #low #nephrology
Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
Parinaud's Syndrome ... retraction (Collier's sign ... β†’ "setting sun sign ... #diagnosis #pineal ... #neurology
Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... ophthalmology #neurology ... #differential # ... diagnosis #ocular
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1Β° HPT
- 1Β° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hypophosphatemia Diagnostic ... , TIO, Fanconi Syndrome ... phosphorus #low #diagnosis ... #Algorithm #differential ... #nephrology
Parinaud's syndrome
What?
 β€’ Light-near dissociation (tectal pupils)
 β€’ Convergence retraction nystagmus
 β€’ Eyelid retraction (Collier's sign)
Parinaud's syndrome ... retraction (Collier's sign ... "setting sun" sign ... neudrawlogy #Parinauds #syndrome ... #neurology #diagnosis
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Hypercalcemia - Differential ... Diagnosis Algorithm ... disease, Viral Syndromes ... #Diagnosis #Algorithm ... #Workup #nephrology
Nikolsky's Sign in Toxic Epidermal Necrolysis (TEN)

Nikolsky's sign is a clinical dermatological sign which is present
Nikolsky's Sign ... Stevens-Johnson Syndrome ... Staphylococcal scalded skin syndrome ... differentiating between the diagnosis ... #PhysicalExam #Video
β–Ί
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 β€’ Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Tea and Toast Syndrome ... #Diagnosis #Algorithm ... #causes #nephrology