14 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Ill Palsy - ... dissociation • Other causes ... #PhysicalExam #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
PalsyCN IV ... palsyCN VI ... One-and-a-half Syndrome ... ophthalmology #neurology ... #differential #
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • CN VI palsy ... Ill palsy ... • Neurologic ... IV - Eye cannot
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 ... of the abducens nerve
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
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the follow up video ... (no horizontal movement ... diagnosed with MS ... and started on IV ... ophthalmology #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 ... Optic Nerve/Pathway ... glaucoma • GCA • Adie ... or without eye movement ... optic disk • HIV
BEE Syndromes - Non-inflammatory Causes

Immune-mediated conditions affecting the Brain, Eye, and Ear

Visual or auditory symptoms in
Non-inflammatory Causes ... nervous system (CNS ... pachymeningitis • HIV ... #neurology #noninflammatory ... #differential #
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
Hearing Loss - Differential ... (CN 8) ... cause unknown) ... II ○ Susac’s syndrome ... zoster virus ○ HIV
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
spinal cord and nerve ... Reconstitution Inflammatory Syndrome ... (IRIS): • In HIV ... neurological symptoms • Caused ... Tuberculosis #diagnosis #differential