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neurology diagnosis ophthalmology adies pupil algorithm clinical comatose diplopia doublevision management myasthenia tonic video
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • CN VI palsy ... • Look for ptosis ... with CN Ill palsy ... Orbital Floor Fracture
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... CN III palsy 2. ... • Third nerve palsy ... orbital rooftop fracture ... #neurology #Differential
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN Ill Palsy ... dissociation • Other causes ... • Physiologic Anisocoria ... #Adies #Pupil #PhysicalExam
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... In this case, the ... oculomotor nerve palsy ... ophthalmology #physicalexam ... #neurology
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 Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Ocular- 50%: Ptosis ... muscles: “myasthenic crises ... life-threatening Differential ... Myasthenia Crises ... diagnosis #management #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Vestibulo-ocular ... Pupils: • Anisocoria ... Casey Albin MD @ ... caseyalbin #PhysicalExam
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