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differential neurology causes algorithm clinical palsy physicalexam abducens bells blurry cnvi cover diplopia disorders doublevision extraocular eyeball eyeexamination facialnerve headache
Approach to an Eye Exam 1. History 2. Obvious Physical Trauma 3. Initial Assessment A. Visual Acuity
Approach to an Eye ... (CN 3, 4, 6) ... Cornea D. ... Optic Nerve / Disc ... #Ophthalmology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Movement Disorders • CN ... Palsy • CN IV ... palsy • CN VI ... #differential #diagnosis ... #ocular
Peripheral Left Cranial Nerve 7 (Bell's) Palsy: Picture on left demonstrates inability to raise left eyebrow
Peripheral Left Cranial Nerve ... to raise left corner ... drooping at left corner ... idiopathic peripheral CN ... #Bells #Palsy #CN7
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 ... Optic Nerve/Pathway ... Ocular Adverse Effects ... #ophthalmology
Cover - Uncover Test Revealing CNVI Palsy Here the Cover-Uncover test unmasks subtle right CN VI palsy.
unmasks subtle right CN ... a subtle right CN ... #CNVI #Palsy #CN6 ... #Abducens #Nerve ... #ocular #physicalexam
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 Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm Phoria: • Latent deviation • Symmetrical corneal light reflex,
Strabismus - Ocular ... exotropia): • CN ... hypotopia, mixed): • CN ... unreactive pupil) • CN ... Algorithm #Causes #Ophthalmology
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. •
- Differential Diagnosis ... • CN VI palsy ... for ptosis with CN ... Functional • Corneal ... Algorithm #Causes #Ophthalmology
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
CN III palsy 2. ... junction, cranial nerve ... eyelid: • Third nerve ... palsy • Horner ... #ophthalmology
Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
hypothalamus, and visual cortex ... glaucoma - Ocular ... Trochlear headache • CNS ... the trigeminal nerve ... #ophthalmology
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