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diagnosis neurology causes abducens clinical cn6 cnvi video anisocoria approach cover defects diplopia disorders doublevision extraocular eyeball eyeexamination headache localization
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Movement Disorders • CN ... Palsy • CN IV ... palsy • CN VI ... #neurology #differential ... #diagnosis #ocular
Approach to an Eye Exam 1. History 2. Obvious Physical Trauma 3. Initial Assessment A. Visual Acuity
Ocular Movements ... (CN 3, 4, 6) ... Optic Nerve / Disc ... EyeExamination #Approach #Ophthalmology ... #PhysicalExam
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... Diagnosis Algorithm ... • CN VI palsy ... for ptosis with CN ... #Causes #Ophthalmology
Left Abducens Spasm on Physical Exam A 50 yr male with left facial spasm and diplopia, with
Left Abducens Spasm ... with left facial spasm ... #CNVI #CN6 #PhysicalExam ... #clinical #ocular ... #ophthalmology
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 Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm Physiological - Simple Anisocoria ( <O.5mm) - Anisocoria equal
Pupillary Defects - Differential ... Diagnosis Algorithm ... • Oculomotor Nerve ... Fascicle (Other CN ... #Causes #Ophthalmology
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm Phoria: • Latent deviation • Symmetrical corneal light reflex,
Strabismus - Ocular ... exotropia): • CN ... hypotopia, mixed): • CN ... unreactive pupil) • CN ... #Causes #Ophthalmology
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... CN III palsy 2. ... junction, cranial nerve ... eyelid: • Third nerve ... #Diagnosis #ophthalmology
Cover - Uncover Test Revealing CNVI Palsy Here the Cover-Uncover test unmasks subtle right CN VI palsy.
unmasks subtle right CN ... a subtle right CN ... #CNVI #Palsy #CN6 ... #Abducens #Nerve ... #ocular #physicalexam
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 Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
and Headache - Differential ... glaucoma - Ocular ... Trochlear headache • CNS ... the trigeminal nerve ... #diagnosis #ophthalmology
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