15 results
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Ocular Movements ... (CN 3, 4, 6) ... Cornea D. ... Blood Vessels #Ocular ... Ophthalmology #PhysicalExam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Abduction - C5,C6 ... "claw hand" ± Horner ... Anterior Shoulder Dislocation ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Left Abducens Palsy on Ocular Examination

Dr. Sebastian Vega @oftalmopo

#Abducens #Palsy #CN6 #CNVI #Ocular #PhysicalExam #clinical #video
Abducens Palsy on Ocular ... Abducens #Palsy #CN6 ... #CNVI #Ocular # ... PhysicalExam #clinical ... ophthalmology #Neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Diagnosis: • CN ... no light-near dissociation ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
CN VI palsy ... for ptosis with CN ... • Neurologic ... Cataract/Lens Dislocation ... Functional • Corneal
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
CN III palsy 2. ... Neurogenic Ptosis - Neurologic ... nerve palsy • Horner ... lens wearing • Ocular ... Syndrome #Ptosis #neurology
Traumatic Lateral Rectus Palsy on Ocular Examination

Impaired left lateral eye movement with left gaze after MVA.
Rectus Palsy on Ocular ... Abducens #CNVI #CN6 ... #Ocular #physicalexam ... clinical #video #neurology
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 ... ophthalmology #Neurology
Oculomasticatory Myorhythmia

Pendular vergence oscillations of the eyes + concurrent contractions of the masticatory muscles.  It's
Whipple's disease with CNS ... clinical #video #neurology ... #ocular #physicalexam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
the bilateral cortex ... light reflex • Corneal ... • Vestibulo-ocular ... caseyalbin #PhysicalExam ... #neurology #comatose