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diagnosis differential adies management rheumatology signs algorithm anisocoria behcet bells clinical clues comatose diplopia disease disorders doublevision extraocular localization movement
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Fasciculus (MLF) Iniury ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Diagnosis: • CN ... Ill Palsy - ... dissociation • Other causes ... #PhysicalExam # ... neurology #ophthalmology
Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
- Autonomic symptoms ... Traumatic brain injury ... meningeal irritation signs ... glaucoma - Ocular ... #Neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
• CN VI palsy ... • Neurologic ... symptoms suggest ... large/unreactive pupil ... #Ophthalmology
Signs and Symptoms Associated With Different Headache Etiologies • Nonfocal mental status changes - Meningitis, encephalitis,
Signs and Symptoms ... poorly reactive pupils ... with third nerve palsy ... movement deficits (CN ... #signs #symptoms
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy Presentation:
ophthalmoplegia), systemic signs ... Imaging (if atypical symptoms ... inflammatory cause ... prevent corneal injury ... Management #Treatment #Neurology
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... oculomotor nerve palsy ... clinical #video #ophthalmology ... #physicalexam # ... neurology
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 Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
to local skin injury ... ) • Neurologic ... symptoms (headache ... inhibitors • Uveitis- Ophthalmology ... diagnosis #management #signs
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... 50 years • New headache ... of headache, cognitive ... impairment, neurologic ... tract, and often causes
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
• Vestibulo-ocular ... Cough reflex Pupils ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose
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