49 results
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction Nystagmus ... nerve palsy Caused ... #ocular #physicalexam ... #clinical #video ... #neurology #ophthalmology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... for a CENTRAL cause ... #HINTS #PhysicalExam ... #Clinical #Video ... #Positive #Neurology
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... for a PERIPHERAL cause ... #HINTS #PhysicalExam ... #Clinical #Video ... #Negative #Neurology
Marcus Gunn Phenomenon - Jaw Winking Syndrome

Jaw-winking syndrome is thought to be caused by abnormal innervation
- Jaw Winking Syndrome ... Jaw-winking syndrome ... thought to be caused ... #clinical #video ... #neurology #physicalexam
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Defining the cause ... measuring urinary K level ... renovascular HT, Renin-secreting ... #nephrology #potassium
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
a.k.a. cardiorenal syndrome ... ) • Liver failure ... tubular necrosis (causes ... Medications • Benign ... Classification #diagnosis #nephrology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
- Wallenberg's Syndrome ... Artery occlusion) Clinical ... Findings: • Nausea ... vomiting/vertigo/nystagmus ... #Wallenbergs #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Unknown nature & benign ... Holmes-Adie Syndrome ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
based on repeat clinic ... • Nephritic syndrome ... Excess: • Conn's syndrome ... steroids) • Renin-Angiotensin ... HTN #Secondary #Nephrology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... fasciculus), which causes ... The most common causes ... #PhysicalExam # ... ophthalmology #neurology