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diagnosis ophthalmology physicalexam algorithm blurry clinical clues cns cnxii deviation diplopia disorders doublevision extraocular headache hypoglossal infections infectiousdiseases left localization
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
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Palsy • CN IV ... palsy • CN VI ... Skew Deviation Casey ... 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
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
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,
pupil with third nerve ... palsy - Tentorial ... • Extraocular movement ... , IV, and VI) - ... #differential #
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Spasticity - Reflexes ... • Infectious causes ... brain and/or optic nerve ... simplex virus, HIV ... #differential
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