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neurology management ocular rheumatology causes diplopia syndrome adies algorithm approach behcet compylobacterjejuni disease disorders doublevision erythematosus extraocular eyeexamination flaccidpalsy gbs
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Nerve Palsy • CN ... Nerve palsy • CN ... VI (Abducens) Nerve ... #neurology #differential ... #diagnosis #ocular
Differential diagnoses for the neuro-ophthalmologic finding of diplopia. Neoplastic: • Intraorbital meningioma • Pituitary adenoma
Differential diagnoses ... for the neuro-ophthalmologic ... Sphenoid sinusitis (CN ... intracranial pressure (CN ... hypertension (CN
Approach to an Eye Exam 1. History 2. Obvious Physical Trauma 3. Initial Assessment A. Visual Acuity
Ocular Movements (CN ... Slit Lamp Exam (SLE ... Fundoscopy A. ... EyeExamination #Approach #Ophthalmology ... #PhysicalExam
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • CN VI palsy ... for ptosis with CN ... #DoubleVision #Differential ... #Causes #Ophthalmology
Guillain–Barré syndrome (GBS) (aka: Landry–Guillain–Barré–Strohl syndrome:  Most common cause of acute flaccid paralysis  Rapidly progressive ascending paralysis & areflexia  Autonomic
Differential diagnosis ... Multiple Sclerosis: CNS ... exposure & prominent cranial ...  Transverse myelitis
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
that results in CNS ... Diagnosis: • ... Evaluate for NMO, SLE ... Disorders: - SLE ... #neurology #differential
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
basal ganglia, CNS ... meningitis), MCC CNS ... Behcet disease) Differential ... inhibitors • Uveitis- Ophthalmology ... collaboration • CNS
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
and Headache - Differential ... Diagnosis Framework ... Trochlear headache • CNS ... Vasculitis Painful cranial ... #diagnosis #ophthalmology
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... Diagnosis: • ANCA-associated ... and CNS • Headache ... meningitis • Cranial ... • Transverse Myelitis
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