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ophthalmology physicalexam clinical ocular adies aids algorithm alice clues cns cnvi cnxii deviation disorders doublevision extraocular headache hiv hypoglossal infections
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Disorders • CN ... • CN IV (Trochlear ... • CN VI (Abducens ... #differential # ... diagnosis #ocular
Traumatic Lateral Rectus Palsy on Ocular Examination Impaired left lateral eye movement with left gaze after MVA.
left lateral eye movement ... #Abducens #CNVI ... #CN6 #Ocular #physicalexam ... #clinical #video ... #neurology #ophthalmology
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 Differential diagnoses for the neuro-ophthalmologic finding of diplopia. Neoplastic: • Intraorbital meningioma • Pituitary adenoma
Differential diagnoses ... Sphenoid sinusitis (CN ... hypertension (CN ... Diplopia #Differential ... #Diagnosis #Causes
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Vision - Differential ... • CN VI palsy ... for ptosis with CN ... Ill palsy ... • Neurologic
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
• Suspect in movement ... , limb ataxia, gait ... hemianopia and diplopia ... hearing loss, palsy ... of the abducens
Alice in Wonderland Syndrome What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
macropsia), color, movement ... • CNS: parietal ... (Many causes!) ... Wonderland #Syndrome #diagnosis ... #neurology #differential
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
Left Tongue Deviation caused by UMN XII palsy Looks can be deceiving. The UMN innervation of most
Tongue Deviation caused ... this rule are CN ... the preserved movements ... #clinical #video ... #physicalexam #neurology
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 Signs and Symptoms Associated With Different Headache Etiologies • Nonfocal mental status changes - Meningitis, encephalitis,
with third nerve palsy ... • Extraocular movement ... deficits (CN Ill ... #differential # ... diagnosis
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