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differential algorithm ophthalmology physicalexam adies localization management movementdisorders orthopedics aids anisocoria arm atypical bells blindness bradykinetic clinical clues cn3 cniii
Parkinson's Plus Syndromes - Atypical Parkinsonism Main motor symptoms: • Tremors • Limb rigidity • Bradykinesia Other symptoms
Parkinson's Plus ... symptoms: • Tremors ... present in PD, and ... Progressive supranuclear palsy ... #diagnosis #neurology
Causes of Tremors - Movement Disorders - Differential Diagnosis Algorithm Action Tremor - Occurs During Voluntary Muscle
Causes of Tremors ... - Differential Diagnosis ... Progressive supranuclear palsy ... MovementDisorders #Neurology ... #Algorithm #Causes
Causes of Bradykinetic Movement Disorders - Differential Diagnosis Algorithm Parkinson's Disease (TRAP): • Resting Tremor • Cogwheel Rigidity • Akinesia/Bradykinesia •
Causes of Bradykinetic ... - Differential Diagnosis ... Algorithm Parkinson's ... Vertical Gaze Palsy ... MovementDisorders #Neurology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework If Altered Mental Status - Consider Oculomotor (3rd cranial
Oculomotor (3rd cranial nerve ... ) Palsy: • Brain ... hemorrhage, SAH, tumor ... no neurological cause ... #neurology
Causes of Facial Weakness - Differential Diagnosis Algorithm Forehead Sparing = Central cause - Most commonly
- Differential Diagnosis ... (2% of facial nerve ... palsy) - Unilateral ... : Bell's Palsy ( ... #neurology #sparing
CN III Palsy - Oculomotor Nerve • Ptosis: Loss of innervation of the levator palpebrae superior.
CN III Palsy - Oculomotor ... Nerve • Ptosis ... medial rectus, and ... #Cranial #neurology ... #diagnosis
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 ... trauma/orbital tumor ... #PhysicalExam #neurology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Palsy • CN IV ... Iniury • One-and-a-half ... Skew Deviation Casey ... ophthalmology #neurology ... #differential #diagnosis
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
• CN VI palsy ... ptosis with CN Ill palsy ... • Neurologic ... large/unreactive pupil ... #Algorithm #Causes
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
to the radial nerve ... Saturday night palsy ... axillary nerve ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
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