161 results
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome ... 1) Finger agnosia ... name their own fingers ... able to copy Causes ... : Stroke (main cause
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... , Orbital apex syndrome ... tumor, Miller-Fisher ... syndrome, Multiple ... differential #diagnosis #ophthalmology
Keratoconjunctivitis: Inflammation of the conjunctiva and cornea secondary to Adenovirus infection.
Photo credit, Josh Fierer, M.D.

Charlie Goldberg,
Photo credit, Josh ... Fierer, M.D. ... Images #Clinical #Ophthalmology ... #Photo #Keratoconjunctivitis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
, C8 (radial) Finger ... Supinator - C5, C6 • Finger ... Erb's Palsy is caused ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
for the neuro-ophthalmologic ... GBS • Miller-Fisher ... syndrome • Orbital ... Differential #Diagnosis #Causes ... #Ophthalmology
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case) right eye. 
Note that
Horner's Syndrome ... input to (in this case ... Images #Clinical #Ophthalmology ... #Photo #Horners ... #Syndrome #Ptosis
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Mallet Finger Absence ... exclude Mallet finger ... caused by disruption ... fracture • ED Management ... XRay #Diagnosis #Management
Causes of Anterior Uveitis - Differential Diagnosis
Anterior Uveitis - 90% of cases of Uveitis
 • Inflammation
Causes of Anterior ... Posner-Schlossman Syndrome ... Behcet's, SLE, TINU syndrome ... HIA B27-related syndrome ... #ophthalmology
Conjunctival Petechiae: Conjunctival petechiae, in this case secondary to endocarditis.
Photo credit, Josh Fierer, M.D.

Charlie Goldberg, M.D.
petechiae, in this case ... Photo credit, Josh ... Fierer, M.D. ... Images #Clinical #Photo
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Wide (1) VT - DANGER ... B Afib + WPW - DANGER ... Vfib/flutter - DANGER ... (2) Sick Sinus Syndrome ... pause 2º - Mobitz