62 results
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear ... ) Bilateral Internuclear ... long standing MS ... #Bilateral #Internuclear
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Multiple Sclerosis (MS ... nearly 3:1 • MS ... syndromes such as internuclear ... Fulminant Forms of MS ... Lhermitte’s sign • Internuclear
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
one side and an internuclear ... diagnosed with MS
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
Neoplastic plasma cells with nucleoli (left image) and intranuclear Dutcher body (right image).

Dutcher bodies are round,
left image) and intranuclear ... DutcherBody #Bodies #Intranuclear
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
Wall-eyed bilateral internuclear ... WEBINO #Walleyed #internuclear
Patterns of Diseases on MRI FLAIR - Differential Diagnosis
ADEM, Adreno-leukodystrophy, CADASIL, CNS, Lymphoma, High-Grade Glioma, HIV
Metastases, Migraine, MS ... : Active, MS: Inactive ... , MS: Tumefactive
LBBB Ventricular Tachycardia Criteria - Lead V1 - Telemetry Diagnosis
WCT is VT IF:
 • Initial r
Initial r wave > 30 ms ... nadir of S > 60 ms
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
or q wave > 40 ms ... in the last 40 ms ... in the first 40 ms