35 results
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
nerve palsy Caused ... retraction #nystagmus #ocular ... #physicalexam #clinical ... #video #neurology ... #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Unknown nature & benign ... Young females Differential ... dissociation • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Neuro-OphthaImoIogy - Visual Field Defects - Localization Map
 - Optic Nerve Lesion (Monocular vision loss)
 -
Neuro-OphthaImoIogy ... Infection • MS ... NeuroOphthaImoIogy #Neurology ... #Differential # ... Diagnosis #Anatomy #Causes
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Hypertension - Differential ... based on repeat clinic ... steroids) • Renin-Angiotensin ... HTN #Secondary #Nephrology ... #Differential #
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... tumor, and always ask ... #PhysicalExam #clinical ... #video #ophthalmology ... #neurology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Demyelinating Disease (MS ... heavy metals), Critical ... #differential # ... diagnosis #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Diagnosis Algorithm Clinical ... • Neurologic ... a mass as the cause ... #Ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... think about three clinical ... Neurogenic Ptosis - Neurologic ... #Differential # ... Diagnosis #ophthalmology
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
and Headache - Differential ... migraine - Benign ... glaucoma - Ocular ... #diagnosis #ophthalmology ... #Neurology