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management physicalexam ophthalmology differential gravis myasthenia anisocoria barre behcet bilateral bilaterality bino brownsequard causes convergence deficit disease distribution gbs guillain
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Multiple Sclerosis (MS ... nearly 3:1 • MS ... • Or brainstem syndromes ... Incontinence • VISUAL: Nystagmus ... (Spinal cord predominant
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Neuromuscular Weakness • Spinal ... Demyelinating Disease (MS ... heavy metals), Critical ... #differential #diagnosis ... #neurology
Ocular Myasthenia Gravis on Physical Exam A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... tumor, and always ask ... anterior_seg_rocks #eyelid ... #video #ophthalmology ... #neurology
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 One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
A nystagmus in far ... the follow up video ... the hospital, diagnosed ... with MS, and started ... #neurology
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 Bilateral Internuclear Ophthalmoplegia (BINO) Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Abducting eye nystagmus ... long standing MS ... Ophthalmoplegia #BINO #ocular ... #physicalexam #clinical ... #video #neurology
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 Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
facial swelling and eyelid ... consistent with a diagnosis ... decompress the spinal ... #clinical #video ... #physicalexam #neurology
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 Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
association • M > F Clinical ... ulceration • Ocular ... skin injury) • Neurologic ... white matter, spinal ... (Clinical Dx).
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
10-33% develop MS ... swollen, while in MS ... Predictive of MS ... Multiple sclerosis (MS ... #management #neurology
Principal patterns of loss of sensation. (a) Thalamic lesion: sensory loss throughout opposite side (rare).
Brown—Séquard syndrome ... MS: loss of proprioception ... #Diagnosis #Neurology ... Comprehensive Review in Clinical ... Neurology - https
Convergence-Retraction Nystagmus on Physical Exam Convergence-retraction nystagmus: irregular, jerky nystagmus, associated with convergence and retraction of both
midbrain & is usually part ... of Parinaud's syndrome ... #PhysicalExam #clinical ... #ocular #video ... #neurology
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