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physicalexam ophthalmology adies clinical anisocoria arm barre blurry causes comatose compylobacterjejuni dermatomes differential extremity flaccidpalsy gbs guillain guillainbarre guillainbarresyndrome injury
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
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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 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) ... neudrawlogy #Parinauds #syndrome ... #neurology #diagnosis
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
and Myotomes Motor ... Carpal Tunnel Syndrome ... Anterior Shoulder Dislocation ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
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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 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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 Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
• Weakness: Starts ... Guillain-Barre Diagnosis ... Albuminocytologic dissociation ... #diagnosis #management ... #treatment #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... • Vestibulo-ocular ... Cough reflex Pupils ... #PhysicalExam #neurology
Guillain–Barré syndrome (GBS) (aka: Landry–Guillain–Barré–Strohl syndrome:  Most common cause of acute flaccid paralysis  Rapidly progressive ascending paralysis & areflexia  Autonomic
Guillain–Barré syndrome ... albumin-cytologic dissociation ... The sensory and motor ... Differential diagnosis ... fixed dilated pupils
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