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neurology ophthalmology differential dermatomes diplopia extremity motor myotomes sensory adies algorithm arm disorders doublevision extraocular leg localization lowerlimb manifestations movement
Differential diagnoses for the neuro-ophthalmologic finding of diplopia. Neoplastic: • Intraorbital meningioma • Pituitary adenoma
Differential diagnoses ... • Myasthenia gravis ... (orbital apex fracture ... , blowout fracture ... #Causes #Ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
- Differential Diagnosis ... • CN VI palsy ... Ill palsy ... a mass as the cause ... Orbital Floor Fracture
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
) Nerve palsy ... Skew Deviation Casey ... ophthalmology #neurology ... #differential #diagnosis ... #ocular
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Conditions Erb's Palsy ... Saturday night palsy ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
- Differential Diagnosis ... CN III palsy 2. ... • Third nerve palsy ... orbital rooftop fracture ... Syndrome #Ptosis #neurology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
females Differential Diagnosis ... : • CN Ill Palsy ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Commonly caused ... such as fibular fracture ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... pain • Extra-CNS ... syndrome, Myasthenia gravis ... Manifestations #diagnosis ... #neurology #symptoms
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