17 results
Vertical Nystagmus and Ophthalmoplegia on Physical Exam in Wernicke Encephalopathy

Dr. Bruno Farnetano @bruno.farnetano

#Vertical #Nystagmus #Ophthalmoplegia #Wernicke
Vertical Nystagmus ... and Ophthalmoplegia ... #PhysicalExam #clinical ... #ophthalmology ... #neurology
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
ABducting eye nystagmus ... evoked Upbeat nystagmus ... #Ocular #clinical ... #physicalexam #ophthalmology ... #neurology
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Diplopia TIER 1-CRITICAL ... , Orbital apex syndrome ... Graves disease), Ophthalmoplegic ... mass #Diplopia #differential ... #diagnosis #ophthalmology
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear Ophthalmoplegia ... Abducting eye nystagmus ... #physicalexam #clinical ... #video #neurology ... #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... an internuclear ophthalmoplegia ... abduction with nystagmus ... #video #ophthalmology ... #neurology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... investigations depending on clinical ... Abdominal compartment syndrome ... • Cardio-renal syndrome ... #AKI #Workup #Algorithm
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... think about three clinical ... Supranuclear lesions • Ophthalmoplegia ... #Differential # ... Diagnosis #ophthalmology
One & a half syndrome with upbeat nystagmus due to a left pontine + bimedullary infarction

Dr.
One & a half syndrome ... with upbeat nystagmus ... #PhysicalExam #clinical ... #video #ophthalmology ... #neurology
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
Thiamine Deficiency - Differential ... Framework and Clinical ... condition: - Nystagmus ... - Ophthalmoplegia ... Manifestations #Differential
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
• Or brainstem syndromes ... as internuclear ophthalmoplegia ... Incontinence • VISUAL: Nystagmus ... patients with clinically ... stimulation Clinical