386 results
Right Oculomotor (CNIII) Palsy caused by Stroke

Dr. Bruno Farnetano @bruno.farnetano

#Oculomotor #CNIII #Palsy #clinical #video #CN3 #clinical
(CNIII) Palsy caused ... #CNIII #Palsy #clinical ... #video #CN3 #clinical ... #physicalexam #ophthalmology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
for the neuro-ophthalmologic ... Sphenoid sinusitis (CN ... hypertension (CN ... Differential #Diagnosis #Causes ... #Ophthalmology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
CNS Ring-Enhancing ... + toxo IgG • CNS ... 30% present w/ CNS ... differential #diagnosis #causes ... #radiology #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Movement Disorders • CN ... Nerve Palsy • CN ... Nerve palsy • CN ... Skew Deviation Casey ... #Localization #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diagnosis Algorithm Clinical ... • CN VI palsy ... a mass as the cause ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
BPM INFECTIOUS CAUSES ... • Fever OTHER CAUSES ... Beta Blockers • CNS ... • Drug Fever CLINICAL ... #differential #causes
Pathological Optic Disc Cupping

Note cup-to-disc ratio at least 0.8 (physiologic limit of 0.5).

Thinning of optic disc
Usual cause is glaucoma ... Glaucoma causes ... Cupping #fundoscopy #ophthalmology ... #Clinical
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Diagnosis and Causes ... • Clinical presentation ... diagnosis: Ischernic cause ... differential #Diagnosis #Causes ... #cardiology #MRI
Tree in Bud Sign
The Tree-in-Bud sign represents Endobronchial spread in a linear branching pattern and centrilobular
It is caused by ... actually seen in all causes ... pneumonia, congenital causes ... Sign #diagnosis #clinical ... #radiology #ChestCT
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Diagnosis Framework Causes ... Unilateral Mydriasis: CN ... Hypothermia Causes ... differential #diagnosis #ophthalmology ... #causes