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

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
• Cushing’s syndrome ... Hyperthyroidism CNS ... /agitation • CNS ... Polyarteritis nodosa • Scleroderma ... • Serotonin syndrome
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Movement Disorders • CN ... Nerve Palsy • CN ... Nerve palsy • CN ... One-and-a-half Syndrome ... differential #diagnosis #ocular
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
- Wallenberg's Syndrome ... vomiting/vertigo/nystagmus ... Vestibular nucleus (CN ... Trigeminal nucleus (CN ... Nucleus ambiguus (CN
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
ulceration • Ocular ... basal ganglia, CNS ... meningitis), MCC CNS ... collaboration • CNS ... signs #symptoms #rheumatology
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... Ophthalmologic: Mydriasis, Ocular ... Diaphresis, flushing • CNS ... ucsdim #Serotonin #Syndrome
Paraproteinemias

Entities That Can Feature A Monoclonal Protein/M Component:
• MM
• WM
• MGUS
• MGCS
• MGRS
• Splenic Marginal Zone
Scleromyxedema (CNS ... +GI+CVS+joints) ... +PNS+GI+Endocrine ... Hypergammaglobulinemic macular ... Paraproteinemias #Hematology
CNS Manifestations of Systemic Lupus Erythematosus (SLE)

Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
CNS Manifestations ... Demyelinating Syndrome ... Erythematosus #SLE #CNS ... #neurology #rheumatology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... Other brainstem syndromes ... Hypothalamic or thalamic syndromes ... pain • Extra-CNS ... erythematosus, Sjögren syndrome
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
Left Abducens Palsy on Ocular Examination

Dr. Sebastian Vega @oftalmopo

#Abducens #Palsy #CN6 #CNVI #Ocular #PhysicalExam #clinical #video
Abducens Palsy on Ocular ... Abducens #Palsy #CN6 ... #CNVI #Ocular # ... PhysicalExam #clinical