9 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• CN VI palsy ... ptosis with CN Ill palsy ... • Neurologic ... large/unreactive pupil ... #Diplopia #DoubleVision
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... Oculomotor (3rd cranial nerve ... ) Palsy: • Brain ... no neurological cause ... #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
females Differential Diagnosis ... : • CN Ill Palsy ... dissociation • Other causes ... #PhysicalExam # ... neurology #ophthalmology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
to the radial nerve ... axillary nerve ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... suggest oculomotor nerve ... palsy. ... ophthalmology #physicalexam ... #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... decompress the spinal cord ... how the right pupil ... #neurology #Anisocoria
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
meninges in spinal cord ... and nerve roots ... Spinal Cord Tuberculoma ... neurological symptoms • Caused ... #Tuberculosis #diagnosis
HORNY PAMELA Mnemonic for Horner’s Syndrome

Horner’s syndrome is classically associated with ptosis, miosis, and anhidrosis.
This is caused by ... by sympathetic nerve ... severe than CN III palsy ... Horners #Syndrome #Diagnosis ... #Neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... threat Cranial Nerves ... Cough reflex Pupils ... caseyalbin #PhysicalExam ... #neurology #comatose