21 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
syndromes such as internuclear ... Lhermitte’s sign • Internuclear ... Radiographic findings (eg ... Laboratory findings (eg ... VEP’s: EEG of visual
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
LBBB Ventricular Tachycardia Criteria - Lead V1 - Telemetry Diagnosis
WCT is VT IF:
 • Initial r
Initial r wave > 30 ms ... nadir of S > 60 ms ... diagnosis #cardiology #ekg ... #ecg #telemetry
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 ... diagnosis #cardiology #ekg ... #ecg #telemetry
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
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
Rhythm (AIVR) on EKG ... complexes >120 ms ... diagnosis #cardiology #EKG ... #ECG #Electrocardiogram
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