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diagnosis neurology ophthalmology rheumatology abducens clinical cn6 cnvi comatose compylobacterjejuni erythematosus extremity flaccidpalsy gbs guillainbarresyndrome headache landrysyndrome leg lower lupus
Cranial Myokymia Paroxysmal episodes of left facial (Orbicularis oculi) and left abducens spasms after remote radiation to
Cranial Myokymia ... facial (Orbicularis oculi ... @bobvarkey #Cranial ... video #neurology #physicalexam ... #CNVI #CN6 #Abducens
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 Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... CN III palsy 2. ... neuromuscular junction, cranial ... lens wearing • Ocular ... Ptosis #neurology #Differential
Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
and Headache - Differential ... glaucoma - Ocular ... Trochlear headache • CNS ... Vasculitis Painful cranial ... Photophobia #Headache #differential
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Leg Pain - Differential ... Compartment syndrome • Myositis ... limb ischemia/cyanosis ... #Leg #pain #differential ... extremity #msk #physicalexam
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
gland) biopsy • Ocular ... nervous system (CNS ... disease, myelopathy, cranial ... neuropathy, transverse myelitis ... • 8%-27% for CNS
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Erythematous, macular ... permanent alopecia Differential ... and CNS • Headache ... meningitis • Cranial ... • Transverse Myelitis
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... blinks to threat Cranial ... • Vestibulo-ocular ... caseyalbin #PhysicalExam
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
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