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diagnosis clinical neurology ophthalmology video electrical electrocution injury rheumatology abducens approach cnvi differential disorders erythematosus extraocular eyeexamination lightning localization lupus
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Movement Disorders • CN ... Ill (Oculomotor ... Nerve Palsy • CN ... Nerve palsy • CN ... One-and-a-half Syndrome
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
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
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
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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 SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Erythematous, macular ... Shrinking lung syndrome ... • May involve PNS ... and CNS • Headache ... neuropathy • Transverse
Lightning Strike Electrical Injury Types of Lightning Strikes: Direct, Side Splash, Contact injury, Ground current ELECTRICAL INJURIES: Primary
coagulation, compartment syndrome ... CNS- stroke, seizure ... OCULAR- cataracts ... clinical #video #NSFW
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 Toaster Electrocution Electrical Injury Primary determination of injury extent = amount of CURRENT flowing through body. VARIABLES: voltage,
coagulation, compartment syndrome ... CNS- stroke, seizure ... OCULAR- cataracts ... clinical #video #nsfw
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