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ophthalmology physicalexam pupil adies aids clinical cns dilated disorders extraocular half hearing hiv infections infectiousdiseases localization loss mimics mint mnemonic
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Ill (Oculomotor ... Skew Deviation Casey ... ophthalmology #neurology ... #differential # ... diagnosis #ocular
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework If Altered Mental Status - Consider Oculomotor (3rd cranial
Unilateral Fixed ... Status - Consider Oculomotor ... cranial nerve) Palsy ... no neurological cause ... #diagnosis #neurology
Stroke Mimics - Differential Diagnosis - MINT Mnemonic • Metabolic: Hyper-glycemia, Hypoglycemia, Wernicke's encephalopathy, Mitochondrial Encephalopathy
Diagnosis - MINT ... • Infectious: Bell's ... palsy (HSV), Vestibular ... neuronitis, CNS ... Stroke #Mimics #CVA
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN ... Ill Palsy - ... dissociation • Other causes ... #PhysicalExam #neurology
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
Entering VA was ... that one eye is fixed ... (no horizontal movement ... the hospital, diagnosed ... ophthalmology #neurology
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 CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
HIV / AIDS - Differential ... • Suspect in movement ... Demyelinating disease caused ... hearing loss, palsy ... #Infections #differential
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
Hearing Loss - Differential ... Diagnosis Framework ... Sensorineural • Mixed ... include a: • Neurologic ... trauma ○ MS, CVA
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