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diagnosis ophthalmology physicalexam clinical algorithm anisocoria blurry clues cns cnxii comatose deviation diplopia disorders doublevision extraocular headache hiv hypoglossal infections
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... : • Adie's Pupil ... Young females Differential ... Ill Palsy - ... #neurology #ophthalmology
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 #
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... suggest oculomotor nerve ... palsy. ... #physicalexam #neurology
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 Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • CN VI palsy ... Ill palsy ... • Neurologic ... large/unreactive pupil
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... threat Cranial Nerves ... Pupils: • Anisocoria ... Casey Albin MD @ ... #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 ... Optic Nerve/Pathway ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... or without eye movement
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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 CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
HIV / AIDS - Differential ... • Suspect in movement ... hearing loss, palsy ... of the abducens nerve ... #diagnosis #AIDS
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 #
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