36 results
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
Hyperthyroidism CNS ... /agitation • CNS ... Polyarteritis nodosa • Scleroderma ... renal crises ... Differential #Diagnosis #causes
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction Nystagmus ... nerve palsy Caused ... Convergence #retraction #nystagmus ... #ocular #physicalexam
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Myasthenia Gravis • CNS ... Progressive Symptoms • Scleroderma ... Diagnosis #Algorithm #Causes
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Movement Disorders • CN ... Nerve Palsy • CN ... Nerve palsy • CN ... Skew Deviation Casey ... differential #diagnosis #ocular
Right Oculomotor (CNIII) Palsy caused by Stroke

Dr. Bruno Farnetano @bruno.farnetano

#Oculomotor #CNIII #Palsy #clinical #video #CN3 #clinical
(CNIII) Palsy caused ... clinical #video #CN3 ... video #neurology #physicalexam
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Clinical Findings: • Nausea ... vomiting/vertigo/nystagmus ... Vestibular nucleus (CN ... Trigeminal nucleus (CN ... Nucleus ambiguus (CN
Seesaw Nystagmus 

Sawtooth or seesaw nystagmus is an unusual but characteristic type of nystagmus. Typically there
Seesaw Nystagmus ... Nystagmus can be ... vertical vestibulo-ocular ... We have varied causes ... #sawtooth #physicalexam
Labyrinthitis 
Vestibular neuritis + unilateral hearing loss = Labyrinthitis 
1) Vertigo (severe) 
2) Gait instability 
3)
instability 3) Nausea ... of vestibular CN ... VIII • Nystagmus
Seesaw nystagmus 
-> eye move in an opposed vertical fashion (one goes up while the other
Seesaw nystagmus ... Seesaw nystagmus ... commonly parasellar masses ... clinical #video #eye #ocular ... #PhysicalExam
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Ocular Movements ... (CN 3, 4, 6) ... Blood Vessels #Ocular ... Ophthalmology #PhysicalExam