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

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction Nystagmus ... nerve palsy Caused ... #physicalexam #clinical ... #video #neurology ... #ophthalmology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... patient with vertigo symptoms ... for a CENTRAL cause ... #PhysicalExam #Clinical ... Video #Positive #Neurology
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... patient with vertigo symptoms ... for a PERIPHERAL cause ... #PhysicalExam #Clinical ... Video #Negative #Neurology
Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery
Nutrient Deficiencies:
 • Most frequent in the malabsorptive surgeries
Supplementation Post Gastric Bypass ... • Persistent nausea ... years • Pervasive neurologic ... symptoms • Pre-existing ... gastroenterology #nutrition #Vitamin
Scurvy (Vitamin C Deficiency) - Diagnosis and Management

Vitamin C is required for hydroxylation of proline residues
poor nutrition Clinical ... musculoskeletal symptoms ... Psychiatric symptoms ... , or any other cause ... #Pathophysiology
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
severe clinical ... Hypo-Mg2+ • Vitamin ... overload) Other Symptoms ... • Pellagra • Vitamin ... Differential #Diagnosis #Pathophysiology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... fasciculus), which causes ... The most common causes ... #video #ophthalmology ... #neurology
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
Framework and Clinical ... Manifestations Causes ... TPN - Gastric bypass ... condition: - Nystagmus ... beriberi #nutrition #pathophysiology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diagnosis Algorithm Clinical ... • Neurologic ... symptoms suggest ... a mass as the cause ... #Ophthalmology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Ocular Nystagmus ... Maneuver This is a case ... Hallpike #Maneuver #clinical ... #physicalexam #ophthalmology ... #neurology