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diagnosis differential neurology algorithm causes clinical palsy physicalexam abducens bells cnvi cover diplopia doublevision eyeball eyeexamination facialnerve headache misalignment peripheral
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
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 ... Differential #Diagnosis #ophthalmology
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
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
• CN VI palsy ... • Look for ptosis ... with CN Ill palsy ... Functional • Corneal ... Algorithm #Causes #Ophthalmology
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm Phoria: • Latent deviation • Symmetrical corneal light reflex,
exotropia): • CN ... hypotopia, mixed): • CN ... and abducted, ptosis ... unreactive pupil) • CN ... Algorithm #Causes #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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 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 ... differential #diagnosis #ophthalmology
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