21 results
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
with a left 6th nerve ... nystagmus #ocular #physicalexam ... clinical #video #neurology ... #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Orbital Floor Fracture ... • Tumor • Trauma ... Cranial Nerve ... Cranial Nerve ... Algorithm #Causes #Ophthalmology
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Obvious Physical Trauma ... Optic Nerve / Disc ... EyeExamination #Approach #Ophthalmology ... #PhysicalExam
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain: • Fracture ... pseudogout • Trauma ... Red Flags: • Trauma ... History of blunt trauma ... extremity #msk #physicalexam
Ulnar Nerve Block on POCUS
Boxers fracture, ulnar n. block for reduction

IUEM Ultrasound @IUEM_ultrasound

#Ulnar #NerveBlock #POCUS #clinical
Ulnar Nerve Block ... POCUS Boxers fracture ... reduction IUEM Ultrasound ... clinical #pain #msk #trauma
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
of tonic pupil (trauma ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
damage to peroneal nerve ... such as fibular fracture ... Myotomes #diagnosis #neurology ... sensory #motor #leg #physicalexam
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
The nerves at the ... , abducens nerve ... clinical #video #ophthalmology ... #physicalexam # ... neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
junction, cranial nerve ... eyelid: • Third nerve ... Direct or indirect trauma ... orbital rooftop fracture ... Differential #Diagnosis #ophthalmology
Bilateral Abducens Nerve Palsy (CNVI)

#Bilateral #Abducens #Nerve #Palsy #CNVI #CN6 #clinical #video #neurology #ophthalmology #physicalexam
Bilateral Abducens Nerve ... Bilateral #Abducens #Nerve ... clinical #video #neurology ... #ophthalmology ... #physicalexam