15 results
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... • Transverse myelitis ... pain • Extra-CNS ... Systemic lupus erythematosus ... , Sjögren syndrome
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
, macular, patchy ... • May involve PNS ... and CNS • Headache ... meningitis • Cranial ... • Transverse Myelitis
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Polyneuropathy, Cranial ... Demyelinating syndromes ... Glomerulonephritis Myositis ... SLE #systemic #erythematosus
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
CN III palsy 2. ... neuromuscular junction, cranial ... lens wearing • Ocular ... • Scarring • Ocular ... ophthalmology #ocular
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Patellofemoral pain syndrome ... Tarsal tunnel syndrome ... • Myositis/pyomyositis ... limb ischemia/cyanosis ... 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
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
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
ischemia • Skin: Erythematous ... ulcers, cutaneous, ocular ... chorioretinitis, CNS ... vasculitis • Cogan syndrome ... : Ocular inflammatory
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
intracranial pressure and cranial ... may represent a syndrome ... Down syndrome is ... Central cyanosis ... Newborn #Infant #PhysicalExam
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... acetate to help with ocular ... Orbital Apex Syndrome ... fissure and optic canal ... ophthalmology #physicalexam