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ophthalmology physicalexam clinical differential anisocoria ataxia blurry comatose disorders extraocular half localization myoclonus omas one oneandahalf opsoclonus tonic vision
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... Holmes-Adie Syndrome ... : • Adie's Pupil ... : • CN Ill Palsy ... #neurology #ophthalmology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... #differential #diagnosis ... #ocular
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 ... Adie’s tonic pupil ... oculomotor nerve palsy ... #physicalexam #neurology
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 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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 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 ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... or without eye movement ... ophthalmology #causes
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
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 The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... • Vestibulo-ocular ... Cough reflex Pupils ... #PhysicalExam #neurology
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