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diagnosis physicalexam clinical ophthalmology causes management pupil posterior alien alternating anesthesia anesthesiology anisocoria arm behcet bilateral blurry cauda caudaequina central
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
• Light-near dissociaton ... Holmes-Adie Syndrome ... Young females Differential ... no light-near dissociation ... #PhysicalExam #neurology
Adie's Pupil on Physical Exam Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... i.e., light-near dissociation ... PhysicalExam #clinical #video ... ophthalmology #neurology ... #syndrome
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 Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... with light near dissociation ... anisocoria #clinical #video ... #physicalexam #neurology
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 Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
Blurry Vision - Differential ... Anterior Chamber ... edema • Lens dislocation ... glaucoma • GCA • Adie ... • Sjögren’s syndrome
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... • Etiology - Anterior ... tracts in the anterior ... #lesions #differential ... #diagnosis #neurology
Gerstmann Syndrome 1) Finger agnosia - Inability to name their own fingers, affecting both sides 2) Right-left confusion
Gerstmann Syndrome ... - Inability to differentiate ... (usually left) inferior ... neudrawlogy #Gerstmann #Syndrome ... #neurology #diagnosis
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Anterior Shoulder ... Dislocation - May ... Myotomes #diagnosis #neurology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
• Serotonin syndrome ... Anticholinergic syndrome ... Phaeochromocytoma Neurologic ... brain injury By Association ... #Hyperthermia #Differential
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Cauda Equina Syndrome ... L5/S1 with an inferior ... constipation Differential ... #differential # ... diagnosis #causes #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Encephalopathy Syndrome ... may precede the neurologic ... on MRA/CTA • Anterior ... Reversible course Differential ... diagnosis #management #neurology
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