14 results
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Ophthalmologic: Mydriasis, Ocular ... Diaphresis, flushing • CNS ... Cardiovascular and vital sign ... Symptoms #spectrum #signs ... #diagnosis
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Ocular Movements ... (CN 3, 4, 6) ... Fundoscopy A. ... Blood Vessels #Ocular ... Ophthalmology #PhysicalExam
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... Many others • Transverse ... pain • Extra-CNS ... Manifestations #diagnosis ... neurology #symptoms #signs
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
- Differential Diagnosis ... Algorithm Red ... • Meningeal signs ... brain lesion • CNS ... #Algorithm #neurology
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 ... #management #signs
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Further Workup • CNS ... Returning Traveler’ algorithm ... thin smear • Signs ... UnknownOrigin #workup #diagnosis
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Strabismus - Ocular ... Algorithm Phoria ... exotropia): • CN ... hypotopia, mixed): • CN ... unreactive pupil) • CN
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
that results in CNS ... bouts of HTN Diagnostic ... • Bilateral signs ... Myelitis Diagnosis ... #Myelitis #diagnosis
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
gland) biopsy • Ocular ... Parotid swelling CNS ... nervous system (CNS ... peripheral neuropathy, transverse ... • 8%-27% for CNS
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
- Differential Diagnosis ... meningeal irritation signs ... glaucoma - Ocular ... Trochlear headache • CNS ... #differential #diagnosis