Contrast nephrology physicalexam pediatrics movement bilateral syndrome palsy - GrepMed

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Localizing Extraocular Movement Disorders
• CN Ill (Oculomotor) Nerve Palsy
• CN IV (Trochlear) Nerve

Localizing Extraocular Movement ... Oculomotor) Nerve Palsy ... One-and-a-half Syndrome ... #Extraocular #Movement ... ophthalmology #neurology

Bell's Phenomenon (Palpebral-Oculogyric Reflex) on Physical Exam

Upward movement of the eyeball when the eyelids are forcefully

Exam Upward movement ... patient with Bell's palsy ... Oculogyric #Reflex #PhysicalExam ... clinical #video #neurology ... #palsy

Bilateral LMN palsy with tongue weakness, wasting and fasciculations. → Bulbar motor Neuron disease

Note

Bilateral LMN palsy ... this from an UMN palsy ... clinical #video #neurology ... #physicalexam

Adie's Pupil
What? Unknown nature & benign
• Regular and mildly dilated pupil (4-6mm);
• Light-near dissociaton;

Holmes-Adie Syndrome ... Diagnosis: • CN Ill Palsy ... abnormal extraocular movements ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology

Erb's Palsy and Ptosis on Newborn Examination after Delivery

Two issues here related to shoulder dystocia with

Erb's Palsy and ... level / Erb’s palsy ... from Horner’s syndrome ... Ptosis #Newborn #physicalExam ... #pediatrics #obgyn

Traumatic Lateral Rectus Palsy on Ocular Examination

Impaired left lateral eye movement with left gaze after MVA.

Rectus Palsy on ... eye movement with ... #Rectus #Palsy ... #CN6 #Ocular #physicalexam ... clinical #video #neurology

Bell's Palsy on Physical Examination

Bell’s palsy also affects the forehead but CVA spares forehead. Innervation above

Bell's Palsy on ... and forehead is bilateral ... input movement ... #Forehead #PhysicalExam ... clinical #video #neurology

Acute Kidney Injury - Classification
Prerenal:
• Dehydration
• Heart failure (a.k.a. cardiorenal syndrome)
• Liver failure

a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... sepsis, meds, contrast ... usually requires bilateral ... Classification #diagnosis #nephrology

Bilateral Abducens Nerve Palsy (CNVI)

#Bilateral #Abducens #Nerve #Palsy #CNVI #CN6 #clinical #video #neurology #ophthalmology #physicalexam

Bilateral Abducens ... Nerve Palsy (CNVI ... ) #Bilateral ... clinical #video #neurology ... ophthalmology #physicalexam

One-and-a-Half Syndrome
1 - One eye cannot move AT ALL horizontally
1/2 - The other eye can only

One-and-a-Half Syndrome ... possible horizontal movements ... Unilateral BRAINSTEM ... OneAndAHalf #One #Half #Syndrome ... #diagnosis #neurology

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