5 results
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
The corrective movement ... 'fast' movements ... as it points to bilateral ... PhysicalExam #clinical #video ... ophthalmology #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
dissociaton; • Usually unilateral ... Holmes-Adie Syndrome ... abnormal extraocular movements ... trauma/orbital tumor ... #PhysicalExam #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... dysfunction to the bilateral ... , tremors) Reflexes ... #PhysicalExam #neurology
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
Characteristic eye movements ... downgaze and also by lateral-down ... Video by Kathleen ... Ophthalmology #Neurology ... #Clinical #Video
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
Depressive symptoms • Movement ... show symmetric bilateral ... The clinical syndrome ... disturbance and tremors ... dementia #AIDS #Neurology