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diagnosis ophthalmology physicalexam clinical disorders adies algorithm associated blurry cheek cn5 cns cnxii cord dementia deviation extraocular hand hearing hemimasticatory
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Disorders • CN ... • CN IV (Trochlear ... Skew Deviation Casey ... ophthalmology #neurology ... #differential #
HIV-Associated Neurocognitive Disorder (HAND) Definition: HIV-Associated Neurocognitive disorders categories: • Asymptomatic neurocognitive impairment • Mild neurocognitive impairment • HIV dementia Pathophysiology: HIV frequently
Depressive symptoms • Movement ... show symmetric bilateral ... dysfunction like gait ... #dementia #AIDS ... #Neurology
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
HIV / AIDS - Differential ... • Suspect in movement ... disorders • Symptoms ... , limb ataxia, gait ... hearing loss, palsy
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Young females Differential ... Ill Palsy - ... abnormal extraocular movements ... dissociation • Other causes ... #PhysicalExam #neurology
Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
Blurry Vision - Differential ... or without eye movement ... optic disk • HIV ... disorder causing ... ophthalmology #causes
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
Hearing Loss - Differential ... include a: • Neurologic ... auditory nerve (CN ... Mitochondrial disorders ... zoster virus ○ HIV
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Tract Lesions: • Bilateral ... of injury • Gait ... Non-compressive Spinal Cord Causes ... , HIV, CMV, HTLV ... #diagnosis #neurology
Left Tongue Deviation caused by UMN XII palsy Looks can be deceiving. The UMN innervation of most
Tongue Deviation caused ... cranial nerves is bilateral ... the preserved movements ... #clinical #video ... #physicalexam #neurology
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 Hemimasticatory Spasm on Physical Exam Hemimasticatory spasm is a disorder of the trigeminal nerve → involuntary jaw
Hemimasticatory spasm is a disorder ... Myokimia will cause ... such gross movement ... clinical #cheek #CN5 ... #video #neurology
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 Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
cord lesion • Bilateral ... • Infectious causes ... simplex virus, HIV ... diagnosis #management #neurology ... #differential
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