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diagnosis rheumatology clinical neurology video lupus ophthalmology signs symptoms systemic abducens approach asteroidhyalosis cn12 cn6 cnvi cnxii cranialnerve deficit differential
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
SLE (Systemic Lupus ... , macular, patchy ... and CNS • Headache ... meningitis • Cranial ... • Transverse Myelitis
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... • Transverse myelitis ... pain • Extra-CNS ... positive NMO only): Myositis ... Systemic lupus erythematosus
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
Systemic Lupus (SLE ... Polyneuropathy, Cranial ... Glomerulonephritis Myositis ... Thrombocytopenia #Lupus #SLE ... #systemic #erythematosus
Approach to an Eye Exam 1. History 2. Obvious Physical Trauma 3. Initial Assessment A. Visual Acuity
Ocular Movements ... (CN 3, 4, 6) ... Slit Lamp Exam (SLE ... Blood Vessels #Ocular ... Ophthalmology #PhysicalExam
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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 Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
overlaps with RA, SLE ... gland) biopsy • Ocular ... disease, myelopathy, cranial ... neuropathy, transverse myelitis ... • 8%-27% for CNS
In this video, you see right sided atrophy, right sided deviation, and fasiculations R>L, indicating a
this video, you see ... producing speech: cranial ... “mee-mee-mee;” CN ... the hypoglossal canal ... Fasciculations #PhysicalExam
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 Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
diseases, such as SLE ... ischemia • Skin: Erythematous ... ulcers, cutaneous, ocular ... chorioretinitis, CNS ... Cogan syndrome: Ocular
Asteroid hyalosis in the anterior vitreous cavity on slit lamp exam These are refractive, calcific particles suspended
Asteroid hyalosis ... quite beautiful to see ... ophthalmology #physicalexam ... #ocular #eye
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