Intranuclear internuclear half - GrepMed

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One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with

One and a Half Syndrome ... Cogan’s) One and a Half ... one side and an internuclear ... OneAndAHalf #One #Half

Wall-eyed bilateral inter nuclear ophthalmoplegia (WEBINO) Syndrome

In this specific case, the lesion is bilaterally in the

Walleyed #bilateral #internuclear

Trichodysplasia spinulosa: follicles plugged w/ hyperkeratotic & parakeratotic debris, excessive inner root sheath differentiation towards keratinization.

EM shows intranuclear

Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the

Bilateral Internuclear ... ) Bilateral Internuclear ... #Bilateral #Internuclear

WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia, b/l ADduction impairment,

Wall-eyed bilateral internuclear ... WEBINO #Walleyed #internuclear

Neoplastic plasma cells with nucleoli (left image) and intranuclear Dutcher body (right image).

Dutcher bodies are round,

left image) and intranuclear ... DutcherBody #Bodies #Intranuclear

Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system

syndromes such as internuclear ... Lhermitte’s sign • Internuclear

Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
• SLE
• Scleroderma
• Dermatomyositis
Koilonychia - Spoon-shaped

to transiently halt ... Diabetes Mellitus Half-and-Half

One-and-a-Half Syndrome
1 - One eye cannot move AT ALL horizontally
1/2 - The other eye can only

One-and-a-Half Syndrome ... abduct (can do only half ... OneAndAHalf #One #Half

SARS-CoV-2 Estimated Aerosol and Surface Viability:
- Aerosols: ≈3hrs post aerosolization (median half-life: 1.2 – 1.2hrs)

aerosolization (median half-life ... 2 – 3d (median half-life ... 2 – 3d (median half-life

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