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ophthalmology physicalexam differential adies horners ocular pupil aids antiiglon5 cns cnxii comatose deviation diplopia disorders doublevision encephalitis extraocular half hiv
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... #differential #diagnosis
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... : • CN Ill Palsy ... dissociation • Other causes ... • Physiologic Anisocoria ... #PhysicalExam #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Algorithm Clinical ... • CN VI palsy ... ptosis with CN Ill palsy ... • Neurologic ... #Algorithm #Causes
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Clinical confirmation ... suggest oculomotor nerve ... palsy. ... #clinical #video ... #physicalexam #neurology
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 Anti-IgLON5 Encephalitis - Ocular Examination Female with 6 months h/o excessive daytime sleepiness, abnormal movements, dysarthria. On
Clinical pentad ... disorders (chorea ... progressive supranuclear palsy ... (PSP like) syndrome ... #video #neurology
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 Causes of Hyperkinetic Movement Disorders - Differential Diagnosis Algorithm Tics: • Tourette's Syndrome • Attention Deficit Hyperactivity
Movement Disorders ... • Tourette's Syndrome ... Toxic / metabolic Chorea ... MovementDisorders #Neurology ... #Algorithm #Causes
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
the follow up video ... (no horizontal movement ... The most common causes ... the hospital, diagnosed ... #neurology
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 Left Tongue Deviation caused by UMN XII palsy Looks can be deceiving. The UMN innervation of most
Tongue Deviation caused ... of most cranial nerves ... the preserved movements ... #clinical #video ... #physicalexam #neurology
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 Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... #clinical #video ... #physicalexam #neurology ... #Anisocoria
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 The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... threat Cranial Nerves ... Pupils: • Anisocoria ... #PhysicalExam #neurology
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