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Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom

Convergence Retraction ... @bobvarkey #Convergence

Regression of Clubbing after Treatment of Lung Cancer #Clinical #PhysicalExam #Radiology #Clubbing #Regression #LungCancer #CT #NEJM

Regression #LungCancer #CT ... #NEJM

Hyperopia: Pathogenesis and clinical findings
• Axial length of eye -> Short axial length of the

Decreased light convergence ... rays require less convergence ... rays require more convergence

Emphysematous Prostatitis - Radiography of the kidney, ureter, and bladder showed an atypical focus of gas

computed tomography (CT ... Clinical #Radiology #CT ... #Prostatitis #NEJM

Parinaud's Syndrome
What?
- Impaired upgaze
- Light-near dissociation
- Convergence retraction nystagmus
- Eyelid retraction (Collier's

dissociation - Convergence

Urinary Tract Tuberculosis - Contrast-enhanced computed tomography (CT) of the abdomen showed mild dilatation of the

computed tomography (CT ... excretory phase on CT ... Radiology #Pathology #CT ... AcidFastBacilli #Microscopy #NEJM

Parinaud's syndrome
What?
• Light-near dissociation (tectal pupils)
• Convergence retraction nystagmus
• Eyelid retraction (Collier's sign)

tectal pupils) • Convergence

Pulsatile AAA on Abdominal Exam

A 66-year-old man presented with a 2-month history of abdominal bloating and

abdominal mass, which CT ... Clinical #Video #NJEM

Goal-Directed Therapy - Evidence Summary of Major Clinical Trials

- EGDT: NEJM 2001

- ProCESS: NEJM

Trials - EGDT: NEJM ... - ProCESS: NEJM ... 2014 - ARISE: NEJM ... - ProMlSe: NEJM

Decompression Sickness - The physical examination revealed diffuse violaceous skin mottling over his trunk and arms

#Pneumatosis #CT ... #NEJM

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