35 results
Bell's Phenomenon (Palpebral-Oculogyric Reflex) on Physical Exam

Upward movement of the eyeball when the eyelids are forcefully
Bell's Phenomenon ... Exam Upward movement ... #Bells #Phenomenon ... Oculogyric #Reflex #PhysicalExam ... clinical #video #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... #Extraocular #Movement ... ophthalmology #neurology ... #differential #
Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-
Myoclonus Ataxia Syndrome ... myoclonus ataxia syndrome ... multidirectional fast eye movements ... #PhysicalExam # ... clinical #video #neurology
Locked-In Syndrome on Physical Exam

56 year-old male with acute onset altered sensorium. Suffered a cardiac arrest
Locked-In Syndrome ... Look at the eye movement ... #LockedIn #Syndrome ... #PhysicalExam # ... clinical #video #neurology
Hemiplegic Gait 

With a hemiplegic gait there is impaired natural swinging at the hip and knee
The pelvis is often ... in a circular movement ... Hemiplegic #Gait #Neurology ... #PhysicalExam #
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Daytime Sleepiness - Differential ... Restless Legs Syndrome ... Periodic Limb Movement ... Hypoventilation Syndrome ... Disorders • Neurologic
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
elicited by rapid movement ... occurs with eye movement ... sign of ectopia lentis ... with Marfan’s syndrome ... Iris #SlitLamp #PhysicalExam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... abnormal extraocular movements ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... macropsia), color, movement ... Alice #Wonderland #Syndrome ... #diagnosis #neurology ... #differential
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... caseyalbin #PhysicalExam ... #neurology #comatose