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neurology symptoms pathophysiology management differential physicalexam syndrome treatment urology causes central clinical gravis lateral msk myasthenia ophthalmology parinauds peripheral sclerosis
Physical exam findings of various ocular palsies; image courtesy of the BMJ R 3rd nerve palsy R 4th
Physical exam findings ... of various ocular ... CNIII #CNIV #CNVI #Neurology ... #Diagnosis #Chart ... #Comparison
Parinaud's Syndrome What? - Impaired upgaze - Light-near dissociation - Convergence retraction nystagmus - Eyelid retraction (Collier's
Convergence retraction nystagmus ... → "setting sun sign ... disease (stroke) Dr ... Parinauds #Syndrome #diagnosis ... #pineal #neurology
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... Central #Vertigo #diagnosis ... #findings #signs ... #symptoms #comparison ... #neurology
Torsional (Rotary) Nystagmus on Ocular Examination Torsional (rotary) nystagmus refers to a rotary movement of the eye
on Ocular Examination ... rare clinical finding ... Dr Prasad Jain @ ... #Ocular #PhysicalExam ... clinical #video #neurology
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 Parinaud's syndrome What? • Light-near dissociation (tectal pupils) • Convergence retraction nystagmus • Eyelid retraction (Collier's sign)
Convergence retraction nystagmus ... "setting sun" sign ... pretectal area By Dr ... Parinauds #syndrome #neurology ... #diagnosis
HINTS Exam - Distinguishing Central from Peripheral Vertigo • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... uncover each eye Dr ... Peripheral #Vertigo #diagnosis ... #neurology #bppv ... #comparison #table
Lateral Medullary Syndrome - Wallenberg's Syndrome Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
continuous vertigo due ... occlusion) Clinical Findings ... vomiting/vertigo/nystagmus ... #Wallenbergs #neurology ... #diagnosis
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Neurogenic Ptosis - Neurologic ... myopathy • Myotonic dystrophy ... Oculopharyngeal muscular dystrophy ... function is impaired due ... Syndrome #Ptosis #neurology
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Incontinence • VISUAL: Nystagmus ... Radiographic findings ... Laboratory findings ... objective evidence of neurologic ... #management #neurology
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Ocular- 50%: Ptosis ... syndrome - Myotonic dystrophy ... Serologic and EMG Findings ... - Peek sign ... #management #neurology
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