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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11 results
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: β€’ CN ... #PhysicalExam #neurology ... #ophthalmology
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 β€’ Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Tea and Toast Syndrome ... Beer Potomania - Low ... #causes #nephrology
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Anisocoria Evaluation Flow ... Diagnosis 1. ... - Horner's Syndrome ... Dilatation - Adie's ... #Diagnosis #Ophthalmology
Clinical Manifestations of Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... β€’ Ophthalmologic ... : Mydriasis, Ocular ... clonus (slow horizontal ... #diagnosis
Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
can be high or low ... Cirrhosis, Nephrotic syndrome ... #differential # ... diagnosis #table ... #sodium #nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 β€’ Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Cirrhosis, Nephrotic Syndrome ... Algorithm #diagnosis ... #causes #nephrology ... #sodium #low
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... how the right pupil ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
β–Ί
The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: β€’ ... β€’ Locked-in syndrome ... β€’ Vestibulo-ocular ... β€’ Examine for signs
Metabolic Causes of Kidney Stones in Children
 β€’ Calcium Oxalate: Primary Hyperoxaluria type 1-3, Secondary Hyperoxaluria
type 1-4, Lowe ... Syndrome (Oculo-Cerebro-Renal ... Stones #pediatrics #nephrology ... #differential # ... diagnosis