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clinical video ophthalmology diagnosis abducens cnvi differential krukenbergs slitlamp spindle cornea palsy dermatomes extremity herpes motor myotomes nerve rheumatology sensory
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Nerve Palsy • CN ... Nerve palsy • CN ... One-and-a-half Syndrome ... ophthalmology #neurology ... differential #diagnosis #ocular
Approach to an Eye Exam 1. History 2. Obvious Physical Trauma 3. Initial Assessment A. Visual Acuity
Ocular Movements ... (CN 3, 4, 6) ... Cornea D. ... Blood Vessels #Ocular ... Ophthalmology #PhysicalExam
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
CNS Ring-Enhancing ... Diagnosis- Compatible syndrome ... + toxo IgG • CNS ... diagnosis #causes #radiology ... #neurology
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
CN III palsy 2. ... Neurogenic Ptosis - Neurologic ... lens wearing • Ocular ... #Ptosis #neurology ... ophthalmology #ocular
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... Other brainstem syndromes ... pain • Extra-CNS ... erythematosus, Sjögren syndrome ... Manifestations #diagnosis #neurology
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
ulceration • Ocular ... skin injury) • Neurologic ... basal ganglia, CNS ... spondyloarthritis • Ocular ... Leukemia, Lymphoma Ocular
Left Abducens Palsy on Ocular Examination Dr. Sebastian Vega @oftalmopo #Abducens #Palsy #CN6 #CNVI #Ocular #PhysicalExam #clinical #video
Abducens Palsy on Ocular ... Abducens #Palsy #CN6 ... #CNVI #Ocular # ... PhysicalExam #clinical ... ophthalmology #Neurology
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 Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Abduction - C5,C6 ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
• Biceps - C5, C6 ... • Triceps - C6 ... • Cauda Equina Syndrome ... Myotomes #diagnosis #neurology ... sensory #motor #leg #physicalexam
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
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