11 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... : • CN Ill Palsy ... dissociation • Other causes ... #PhysicalExam #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... #differential #diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Conditions Erb's Palsy ... Saturday night palsy ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... suggest oculomotor nerve ... palsy. ... anisocoria #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 ... The most common causes ... the hospital, diagnosed ... ophthalmology #neurology
Left Tongue Deviation caused by UMN XII palsy

Looks can be deceiving. The UMN innervation of most
Tongue Deviation caused ... of most cranial nerves ... the preserved movements ... #clinical #video ... #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
- Differential Diagnosis ... Optic Nerve/Pathway ... Tumor • Optic nerve ... glaucoma • GCA • Adie ... or without eye movement
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... threat Cranial Nerves ... Casey Albin MD @ ... #PhysicalExam #neurology
Signs and Symptoms Associated With Different Headache Etiologies
 • Nonfocal mental status changes - Meningitis, encephalitis,
vasoconstriction syndrome ... pupil with third nerve ... palsy - Tentorial ... • Extraocular movement ... #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