63 results
Right Oculomotor (CNIII) Palsy caused by Stroke

Dr. Bruno Farnetano @bruno.farnetano

#Oculomotor #CNIII #Palsy #clinical #video #CN3 #clinical
Oculomotor (CNIII) Palsy ... caused by Stroke ... #clinical #video ... #CN3 #clinical ... #physicalexam #
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Conditions Erb's Palsy ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
) Nerve palsy ... One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology #differential ... #diagnosis #ocular
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... VI palsy) • ... Miller-Fisher syndrome ... Diplopia #Differential ... #Diagnosis #Causes
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN ... Ill Palsy - ... dissociation • Other causes
Causes of Developmental Delay - Differential Diagnosis Algorithm
Isolated Domain Delay - Reduced Respiratory Drive:
 • Cognitive
Causes of Developmental ... Delay - Differential ... Diagnosis Algorithm ... : • Cerebral Palsy ... #Causes #Peds #
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Evaluation Flow Chart - Differential ... Diagnosis 1. ... - Horner's Syndrome ... Anisocoria - CN ... III Palsy - Pharmacologic
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
Status (AMS) - Differential ... Diagnosis Framework ... • Cushing’s syndrome ... • Serotonin syndrome ... #Diagnosis #causes
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... : ß-blockers, CNS ... #bradycardia #Causes ... #differential # ... diagnosis #infectiousdiseases
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • CN VI palsy ... Ill palsy ... a mass as the cause ... #Causes #Ophthalmology