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diagnosis differential rheumatology symptoms neurology ophthalmology management abducens aids approach behcet clinical clues cnvi disease disorders erythematosus extraocular eyeexamination headache
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 ... (e.g. oculomotor ... Many others • Transverse ... pain • Extra-CNS ... neurology #symptoms #signs
Clinical Manifestations of Serotonin Syndrome • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements) • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... Ophthalmologic: Mydriasis, Ocular ... Diaphresis, flushing • CNS ... Cardiovascular and vital sign ... Symptoms #spectrum #signs
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 ... diagnosis #management #signs
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
Signs and Symptoms Associated With Different Headache Etiologies • Nonfocal mental status changes - Meningitis, encephalitis,
Signs and Symptoms ... vasoconstriction syndrome ... pulsations on funduscopy ... movement deficits (CN ... #headache #signs
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
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... ulcers, cutaneous, ocular ... chorioretinitis, CNS ... vasculitis • Cogan syndrome ... : Ocular inflammatory
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