9 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 - ... abnormal extraocular ... movements -
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Movement Disorders ... One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... #differential #
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... macropsia), color, movement ... • CNS: parietal ... #diagnosis #neurology ... #differential
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • CN VI palsy ... Ill palsy ... • Neurologic ... Myasthenia Gravis Extraocular
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the follow up video ... fasciculus), which causes ... (no horizontal movement ... The most common causes ... ophthalmology #neurology
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 ... #Infections #differential
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 ... Extraocular Muscles ... glaucoma • GCA • Adie ... or without eye movement ... ophthalmology #causes
Signs and Symptoms Associated With Different Headache Etiologies
 • Nonfocal mental status changes - Meningitis, encephalitis,
vasoconstriction syndrome ... with third nerve palsy ... movement deficits ... (CN Ill, IV, and ... #differential #
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