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physicalexam ophthalmology clinical pupil anisocoria cnxii comatose differential disorders extraocular hypoglossal left localization tongue tonic umn
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
females Differential Diagnosis ... : • CN Ill Palsy ... abnormal extraocular movements ... dissociation • Other causes ... #PhysicalExam #neurology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Pathology • Skew Deviation ... Casey Albin, MD ... ophthalmology #neurology ... #differential #diagnosis ... #ocular
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... oculomotor nerve palsy ... anisocoria #clinical #video ... #physicalexam #neurology
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 Left Tongue Deviation caused by UMN XII palsy Looks can be deceiving. The UMN innervation of most
caused by UMN XII ... cranial nerves is bilateral ... the preserved movements ... #clinical #video ... #physicalexam #neurology
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 The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... dysfunction to the bilateral ... • Vestibulo-ocular ... • Forced gaze deviation ... #PhysicalExam #neurology
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