Convergence nejm pathology - GrepMed

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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

Borrelia recurrentis Infection - Spirochetes were visible (arrows), a finding that suggested louseborne relapsing fever #Clinical

fever #Clinical #Pathology ... Smear #Microscopy #NEJM

Pathologic Red Blood Cell (RBC) Morphologies and Associated Diseases

Acanthocyte (spur cell),
Basophilic stippling,
Bite cell,

Pathologic Red Blood ... Atlas #Microscopy #Pathology ... Robbins & Cotran Pathologic

Excoriated papules with honey-colored crusting were present on the abdomen, back (Panel A), arms, and legs.

Clinical #Derm #Pathology ... Microscopy #Rash #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

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

dissociation - Convergence

African Trypanosomiasis - The examination was notable for the two erythematous lesions, each measuring 3 to

Clinical #Derm #Pathology ... TrypanosomaBrucei #NEJM

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

tectal pupils) • Convergence

Goal-Directed Therapy - Evidence Summary of Major Clinical Trials

- EGDT: NEJM 2001

- ProCESS: NEJM

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

Tinea Versicolor - Physical examination revealed large, coalescing, hypopigmented patches and macules on her torso and

Clinical #Derm #Pathology ... Microscopy #Spaghetti #NEJM

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