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diagnosis neurology ophthalmology rheumatology management signs symptoms abducens adies aids antibiotic approach behcet clinical clues cnvi compylobacterjejuni disease disorders erythematosus
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Movement Disorders • CN ... Ill (Oculomotor ... Nerve Palsy • CN ... Nerve palsy • CN ... #diagnosis #ocular
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... Other brainstem syndromes ... (e.g. oculomotor ... Many others • Transverse ... pain • Extra-CNS
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 ... Behcet disease) Differential ... collaboration • CNS
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
Paraproteinemias Entities That Can Feature A Monoclonal Protein/M Component: • MM • WM • MGUS • MGCS • MGRS • Splenic Marginal Zone
cryocrystalglobulin GN -C3 ... Scleromyxedema (CNS ... +GI+CVS+joints) ... Hypergammaglobulinemic macular ... Hematology #Monoclonal #Differential
Causes of Antibiotic Failure - Differential Diagnosis Framework Diagnosis: • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Antibiotic Failure - Differential ... NMS, serotonin syndrome ... Tissue penetration (CNS ... , prostate, ocular ... Antibiotic #Failure #Differential
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN ... #Adies #Pupil #PhysicalExam
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
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... CN III palsy 2. ... lens wearing • Ocular ... Ptosis #neurology #Differential ... ophthalmology #ocular
Left Abducens Spasm on Physical Exam A 50 yr male with left facial spasm and diplopia, with
paroxysmal brainstem syndrome ... #Spasm #CNVI #CN6 ... #PhysicalExam # ... clinical #ocular
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