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Bilateral Lens Dislocation in Marfan syndrome - Slit Lamp Ocular Examination

Dr. Sebastian Vega @oftalmopo

#Bilateral #Lens #Dislocation

Bilateral Lens Dislocation ... in Marfan syndrome ... #Marfan #syndrome ... PhysicalExam #clinical #video ... #ophthalmology

Simultagnosia on Physical Exam (Balint Syndrome)

The patient can recognize objects one at a time but cannot

Physical Exam (Balint Syndrome ... Simultagnosia #Balint #Syndrome ... PhysicalExam #clinical #video ... #neurology #ophthalmology

Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-

Myoclonus Ataxia Syndrome ... myoclonus ataxia syndrome ... Myoclonus #Ataxia #Syndrome ... PhysicalExam #clinical #video ... #neurology #ophthalmology

Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil

i.e., light-near dissociation ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology #syndrome

Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure

of Hepatorenal Syndrome ... edgarvlermamd - Nephrology ... #HepatoRenal #Syndrome ... #Nephrology #Management ... #Pharmacology #Medications

Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of

total or partial dislocation ... with Marfan’s syndrome ... #PhysicalExam #Video ... #Ophthalmology

Adie's Pupil
What? Unknown nature & benign
• Regular and mildly dilated pupil (4-6mm);
• Light-near dissociaton;

Holmes-Adie Syndrome ... no light-near dissociation ... #PhysicalExam #neurology ... #ophthalmology

Priapism

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,

Secondary Causes: Medications ... hyperviscosity syndrome ... Priapism #Diagnosis #Management ... #Urology #Differential

Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1

Horner's Syndrome ... The video highlights ... #clinical #video ... #ophthalmology ... #physicalexam #neurology

Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior

Effects of Systemic Medications ... edema • Lens dislocation ... • Sjögren’s syndrome ... hyperviscosity syndrome ... differential #diagnosis #ophthalmology

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