2246 results
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
encephalopathy, Orbital apex ... pseudotumor, Orbital apex
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 • Smooth pleural line
 • AIS >
UAlberta_Sono #APE
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
secondary to Orbital Apex ... Ophthalmoplegia #Orbital #Apex
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... at the orbital apex ... consistent with Orbital Apex ... Orbital Apex Syndrome ... nerves at the apex
Diplopia - Differential Diagnosis
Step 1: Consider Stroke
Step 2: Diplopia PLUS
 - Cavernous Sinus Syndrome
 - Infection
HA - Orbital Apex
Takotsubo Cardiomyopathy - Right Ventricular Involvement 

In up to 1/4 of cases of stress cardiomyopathy (takotsubo),
right ventricular apex
Double Apical Impulse (S4) Visualization on Physical Exam - Hi-Res Video Version: https://www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs

On palpation, the PMI
of the cardiac apex ... heard over the apex
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
look at the LV apex
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
Both base and apex
Causes of Pelvic Organ Prolapse - Differential Diagnosis Algorithm
Herniation of one or more pelvic organs
Risk factors:
obesity, increasing age ... prolapse Vaginal Apex