12 results
All About Horner's Syndrome

Horner's syndrome, known as 
"oculosympathetic paresis" by people 
who don't have friends, is
Syndrome Horner's ... results in ptosis (droop ... Horner's svndrome ... Ophthalmology #Diagnosis ... #Neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... of Horner's syndrome ... ophthalmology #physicalexam ... #neurology #Anisocoria
Pupils: Localization in Coma
 • Small, Reactive pupils: Metabolic coma.
 • Unilateral Fixed, dilated pupil :
Horner's syndrome ... Localization #Coma #Neurology ... #differential # ... diagnosis
Causes of Metabolic Acidosis with Elevated Anion Gap - Differential Diagnosis Algorithm
Elevated Anion Gap > 12
Diagnosis Algorithm ... Anion Gap > 12 (Gain ... albumin: For every drop ... #Differential # ... Diagnosis #Algorithm
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... Horner’s syndrome ... nerve palsy • Horner ... #Ptosis #neurology ... #Differential #
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
"claw hand" ± Horner ... drop - Occurs after ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
to Headaches - Differential ... Diagnosis Algorithm ... papilledema • Horner ... syndrome, history ... #neurology #PHANTOMS
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... Neuropathy - Foot drop ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
Cord Disorders - Differential ... Diagnosis Framework ... of injury • Gait ... MCTD, Sjogren syndrome ... #neurology #differential