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differential ophthalmology physicalexam adies clinical aids algorithm anisocoria clues cns cnxii comatose deviation diplopia disorders doublevision extraocular headache hiv hypoglossal
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Palsy • CN IV ... palsy • CN VI ... ophthalmology #neurology ... #differential #diagnosis ... #ocular
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
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
• CN VI palsy ... Ill palsy ... • Neurologic ... a mass as the cause ... large/unreactive pupil
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... suggest 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
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 - Tentorial ... • Extraocular movement ... deficits (CN Ill ... #differential #diagnosis
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
- Differential Diagnosis ... • Suspect in movement ... Demyelinating disease caused ... hearing loss, palsy ... of the abducens nerve
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... threat Cranial Nerves ... • Vestibulo-ocular ... Cough reflex Pupils ... #PhysicalExam #neurology
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