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ophthalmology differential causes neurology rheumatology anisocoria approach defects disorders erythematosus extraocular eyeball eyeexamination localization lupus management manifestations misalignment movement neuromyelitis
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Ill (Oculomotor ... Nerve Palsy • CN ... Nerve palsy • CN ... #differential #diagnosis ... #ocular
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... syndromes (e.g. oculomotor ... Many others • Transverse ... pain • Extra-CNS ... Manifestations #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
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm Physiological - Simple Anisocoria ( <O.5mm) - Anisocoria equal
- Differential Diagnosis ... Algorithm Physiological ... pilocarpine • Oculomotor ... Fascicle (Other CN ... #Algorithm #Causes
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
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
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Erythematous, macular ... Differential Diagnosis ... and CNS • Headache ... neuropathy • Transverse ... Erythematosus #Diagnosis
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