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differential neurology algorithm diplopia blurry disorders doublevision extraocular eyeball eyeexamination headache localization misalignment movement photophobia physicalexam ptosis serotonin signs spectrum
Approach to an Eye Exam 1. History 2. Obvious Physical Trauma 3. Initial Assessment A. Visual Acuity
Approach to an Eye ... Ocular Movements ... (CN 3, 4, 6) ... Cornea D. ... #Ophthalmology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia. Neoplastic: • Intraorbital meningioma • Pituitary adenoma
Sphenoid sinusitis (CN ... intracranial pressure (CN ... orbitopathy) • Corneal ... hypertension (CN ... #Causes #Ophthalmology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Movement Disorders • CN ... Nerve Palsy • CN ... Nerve palsy • CN ... #differential #diagnosis ... #ocular
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm Phoria: • Latent deviation • Symmetrical corneal light reflex,
exotropia): • CN ... hypotopia, mixed): • CN ... unreactive pupil) • CN ... #Algorithm #Causes ... #Ophthalmology
Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
- Differential Diagnosis ... Anatomical Approach ... Ocular Adverse Effects ... #ophthalmology ... #causes
Clinical Manifestations of Serotonin Syndrome • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements) • Gastrointestinal: Diarrhea,
Serotonin Syndrome • Ophthalmologic ... : Mydriasis, Ocular ... Diaphresis, flushing • CNS ... Hyperthermia UCSD ... spectrum #signs #diagnosis
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
• CN VI palsy ... for ptosis with CN ... a mass as the cause ... Functional • Corneal ... #Ophthalmology
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
- Differential Diagnosis ... three clinical diagnoses ... CN III palsy 2. ... nerve palsy • Horner ... #ophthalmology
Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
- Differential Diagnosis ... hypothalamus, and visual cortex ... glaucoma - Ocular ... Trochlear headache • CNS ... #ophthalmology
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