20 results
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
Wernicke Encephalopathy ... B1) Deficiency Clinical ... abnormalities (eg nystagmus ... dysfunction and gait ... diagnosis #criteria #neurology
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction Nystagmus ... nerve palsy Caused ... #physicalexam #clinical ... #video #neurology ... #ophthalmology
Vertical Nystagmus and Ophthalmoplegia on Physical Exam in Wernicke Encephalopathy

Dr. Bruno Farnetano @bruno.farnetano

#Vertical #Nystagmus #Ophthalmoplegia #Wernicke
Vertical Nystagmus ... #Vertical #Nystagmus ... #PhysicalExam #clinical ... #ophthalmology ... #neurology
CNS Manifestations of Systemic Lupus Erythematosus (SLE)

Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Erythematosus (SLE) Clinical ... Meningitis, Myelopathy, Encephalopathy ... Disease, PRES Pathophysiology ... autoantibodies that will cause ... ischemia and/or
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... Diplopia TIER 1-CRITICAL ... gravis, Wernicke's encephalopathy ... Ophthalmoplegic migraine, Ischemic ... differential #diagnosis #ophthalmology
Diabetic Retinopathy: Pathogenesis and clinical findings

Mild Non-proliferative DR
 • Outpouchings of the weakened capillary walls or
Pathogenesis and clinical ... re-vascularize the ischemic ... causes upregulation ... Retinopathy #Diabetes #ophthalmology ... complications #pathophysiology
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
CLINICAL TRIAD ... DYSFUNCTION (29%) Nystagmus ... GAIT ATAXIA (23% ... Primarily: Stance & gait ... diagnosis #triad #neurology
Vertical Nystagmus on Slit Lamp Ocular Examination

Often an indicator of a central lesion. This patient was
Vertical Nystagmus ... found to have an ischemic ... By Ophthalmology ... #PhysicalExam #clinical ... #neurology #SlitLamp
Chronic Hypertensive Retinopathy: Pathogenesis and clinical findings

Ophthalmic Artery Hypertension
Stage 1: Mild/vasoconstrictive
 • Acute and chronic vasospasm
Pathogenesis and clinical ... fluffy white ischemic ... Elschnig's Spots • Ischemia ... #Retinopathy #pathophysiology ... #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... fasciculus), which causes ... The most common causes ... #video #ophthalmology ... #neurology