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ophthalmology adies clinical physicalexam parinauds anisocoria blurry causes differential encephalopathy injury knee msk nsfw pineal posterior tonic triad vision wernickes
Parinaud's syndrome What? • Light-near dissociation (tectal pupils) • Convergence retraction nystagmus • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... • Light-near dissociation ... (tectal pupils) ... Convergence retraction nystagmus ... #neurology #diagnosis
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
• Light-near dissociaton ... Holmes-Adie Syndrome ... females Differential Diagnosis ... no light-near dissociation ... #PhysicalExam #neurology
Parinaud's Syndrome What? - Impaired upgaze - Light-near dissociation - Convergence retraction nystagmus - Eyelid retraction (Collier's
Parinaud's Syndrome ... - Light-near dissociation ... Convergence retraction nystagmus ... #diagnosis #pineal ... #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 ... Her ocular exam ... with light near dissociation ... anisocoria #clinical #video ... #physicalexam #neurology
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 Wernicke's Encephalopathy CLINICAL TRIAD: only seen in 1/4 pts W.E. is often under diagnosed 1. ENCEPHALOPATHY
is often under diagnosed ... DYSFUNCTION (29%) Nystagmus ... , Light near dissociation ... , Nonreactive pupils ... #triad #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
- Differential Diagnosis ... edema • Lens dislocation ... GCA • Adie’s pupil ... • Sjögren’s syndrome ... hyperviscosity syndrome
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Posterior Knee Dislocation ... POSTERIOR DISLOCATION ... suspicious of posterior dislocation ... the_resuscitationist #Knee #Dislocation ... msk #clinical #video
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