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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16 results
Clinical Manifestations of Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... Ophthalmologic: Mydriasis, Ocular ... clonus (slow horizontal ... #Symptoms #spectrum ... #signs #diagnosis
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Diagnosis Algorithm ... pattern of spread, B symptoms ... B-Cell ~90% β€’ Low ... Responsive to Treatment ... #NonHodgkin #differential
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Dehydration β€’ Symptoms ... changes, stroke symptoms ... WBC >100k, + lab signs ... , Elevated Cr, Low ... #TLS #diagnosis
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... or induced by treatment ... how the right pupil ... ophthalmology #physicalexam ... #neurology #Anisocoria
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Risk Factors and Signs of Copper Deficiency
Risk Factors:
 β€’ Gastrointestinal: Previous upper bowel resection/bariatric surgery, Inflammatory
diarrhoea, Short bowel syndrome ... dental fixatives, Treatment ... Musculoskeletal: Low ... Copper #Deficiency #diagnosis ... #symptoms #nutrition
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 ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
Overwhelming clinical syndrome ... : HLH signs and ... symptoms can mimic ... Splenomegaly β€’ Low ... β€’ Bicytopenia Treatment
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
non-specific, ESR usually low ... or serologies + symptoms ... hematuria, RBC casts, low ... #differential # ... #treatment
The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: β€’ ... β€’ Vestibulo-ocular ... β€’ Examine for signs ... caseyalbin #PhysicalExam
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
acetate to help with ocular ... receive proper treatment ... HZO #clinical #video ... ophthalmology #physicalexam ... #neurology
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