11 results
Terrien's Marginal Degeneration on Slit Lamp Ocular Examination

70-year-old patient who consulted for subconjunctival hemorrhage x 1
Examination 70-year-old ... anca vasculitis and ... It is diagnosed ... #PhysicalExam # ... ophthalmology #SlitLamp
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
ulceration • Ocular ... Positive pathergy test ... is a skin prick test ... Giant retinal tears ... #diagnosis #management
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... myasthenia Diagnosis ... Bedside: ice pack test ... /Edrophonium test ... #management #neurology
Iliotibial Band Friction Syndrome - MSK Radiology
Imaging Findings:
 • The iliotibial band (ITB) is thickened with
Band Friction Syndrome ... - MSK Radiology ... thickened with no tear ... image-guided steroid ... : Well-defined margins
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... the hospital, diagnosed ... with MS, and started ... on IV steroids ... #PhysicalExam #
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 • Direct lesion contact during sex is responsible
Albuminuria, nephrotic syndrome ... Headache, meningitis, ocular ... ulcerated • MSK ... Syphilis #stages #diagnosis ... #management #Treatment
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... • Vestibulo-ocular ... If ok with ICU team ... caseyalbin #PhysicalExam
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
bouts of HTN Diagnostic ... Transverse Myelitis Diagnosis ... negative, MOG-IgG test ... Treatment: • Steroids ... #management #neurology
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... per 100,000 per year ... sensitive tests ... Guillain #Barre #Syndrome ... #diagnosis #management
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Skin dryness • Vaginal ... gland) biopsy • Ocular ... phenomenon (16%) MSK ... Symptomatic: artificial tears ... #Management