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ophthalmology physicalexam clinical diagnosis differential pupil opsoclonus algorithm anisocoria antiiglon5 ataxia blurry comatose encephalitis extraocular eyes gait half hyperkinetic iglon5
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN Ill Palsy ... abnormal extraocular movements ... dissociation • Other causes ... #PhysicalExam #neurology
Adie's Pupil on Physical Exam Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
a neurological disorder ... It is caused by ... PhysicalExam #clinical #video ... ophthalmology #neurology ... #syndrome
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 Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Disorders • CN ... One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... differential #diagnosis #ocular
Opsoclonus-Myoclonus Ataxia Syndrome (OMAS) -Dancing eyes - dancing feet syndrome • Opsoclonus: ocular spontaneous, arrhythmic, conjugate
• Opsoclonus: ocular ... conjugate saccades movements ... caused by muscular ... #clinical #video ... #neurology #gait
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 Anti-IgLON5 Encephalitis - Ocular Examination Female with 6 months h/o excessive daytime sleepiness, abnormal movements, dysarthria. On
Encephalitis - Ocular ... progressive supranuclear palsy ... (PSP like) syndrome ... PhysicalExam #clinical #video ... #neurology #ophthalmology
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 Causes of Hyperkinetic Movement Disorders - Differential Diagnosis Algorithm Tics: • Tourette's Syndrome • Attention Deficit Hyperactivity
Causes of Hyperkinetic ... Movement Disorders ... • Tourette's Syndrome ... Stereotypies Myoclonus ... MovementDisorders #Neurology
Opsoclonus Myoclonus Syndrome (OMS) on Physical Exam Opsoclonus: Rapid, repetitive conjugate involuntary chaotic multidirectional (horizontal, vertical, and
Opsoclonus Myoclonus ... Syndrome (OMS) ... components) eye movements ... #ocular #clinical ... #video #eyes #neurology
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 Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... oculomotor nerve palsy ... anisocoria #clinical #video ... #physicalexam #neurology
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 Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... /pain upon eye movement ... involvement: Intractable nausea ... Comorbid autoimmune disorders ... Manifestations #diagnosis #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
glaucoma • GCA • Adie ... • Sjögren’s syndrome ... or without eye movement ... • Systemic disorder ... ophthalmology #causes
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