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clinical diagnosis ophthalmology papilledema physicalexam ultrasound anisocoria comatose differential hypertension idiopathic iih intracranial labeled pupil rheumatology tonic vasculitis video
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 ... no history of recent ... suggest oculomotor nerve ... #physicalexam #neurology
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 Enlarged optic nerve sheath diameter and crescent sign in 30 yo female patient reporting 3 months
Enlarged optic nerve ... sign in 30 yo female ... #Hypertension #Ocular ... #POCUS #Clinical ... #sign
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 Papilledema on Ocular POCUS Eye, linear probe, optic nerve (ON) elevation >0.6 mm into globe (crescent sign)
Papilledema on Ocular ... POCUS Eye, linear ... probe, optic nerve ... mm into globe (crescent ... sign) c/w papilledema
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 Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... affects the skin, neurologic ... muscle weakness • Nerves ... cognitive impairment, neurologic ... Cogan syndrome: Ocular
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
threat Cranial Nerves ... • Vestibulo-ocular ... • Examine for signs ... meningoism (may not be present ... #PhysicalExam #neurology
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