CN3 ophthalmology syndrome pocus echocardiogram intrapulmonary physicalexam - GrepMed

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Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M

- Echocardiogram ... consistent with intrapulmonary ... #Echocardiogram ... bubble #shunting #intrapulmonary ... cardiology #clinical #pocus

Adie's Pupil
What? Unknown nature & benign
• Regular and mildly dilated pupil (4-6mm);
• Light-near dissociaton;

Holmes-Adie Syndrome ... Diagnosis: • CN ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology

Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with

Double Shunt on Echocardiogram ... via pulm veins = intrapulmonary ... hepatopulmonary syndrome ... #clinical #pocus ... #a4c #intrapulmonary

Cover - Uncover Test Revealing CNVI Palsy

Here the Cover-Uncover test unmasks subtle right CN VI palsy.

unmasks subtle right CN ... Patient asked to focus ... a subtle right CN ... video #neurology #ophthalmology ... #ocular #physicalexam

Left Abducens Spasm on Physical Exam

A 50 yr male with left facial spasm and diplopia, with

paroxysmal brainstem syndrome ... #Spasm #CNVI #CN6 ... #PhysicalExam # ... clinical #ocular #ophthalmology

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