11 results
Left Abducens Spasm on Physical Exam

A 50 yr male with left facial spasm and diplopia, with
Left Abducens Spasm ... paroxysmal brainstem syndrome ... Spasm #CNVI #CN6 #PhysicalExam ... #clinical #ocular ... ophthalmology #neurology
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
syndromes Clinical ... is the main clinical ... thrombocytopenia • Liver ... ALT ↑ bilirubin level ... #Diagnosis #Management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
the setting of liver ... shunt (Type 2) Clinical ... • Underlying liver ... hypertension • Liver ... #treatment #hepatology
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
: Overwhelming clinical ... syndrome associated ... lymph node, or liver ... Lymphohistiocytosis #diagnosis #management ... #treatment #hematology
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
to 8 years Clinical ... disease • Liver ... Low serum IgG level ... : • Nephrotic syndrome ... (Epstein-Barr syndrome
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
acetate to help with ocular ... trochlear nerve, abducens ... Ophthalmicus #HZO #clinical ... ophthalmology #physicalexam ... #neurology
Unilateral Floppy Eyelid Syndrome

This middle-aged male reported to clinic for persistent blurry vision and irritation of
Unilateral Floppy ... consistent with his level ... Our management for ... #FES #PhysicalExam ... ophthalmology #neurology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... Mississippi and Ohio River ... fungal stain of clinical ... osteoarticular, pulmonary, ocular ... Fungal #Diagnosis #Management
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Occurs in advanced liver ... hepatitis, or acute liver ... • Definitive: Liver ... • Urgent liver ... #Hepatology #Nephrology
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Sjogren's Syndrome ... gland) biopsy • Ocular ... salivary ducts Clinical ... vasculitis: 10%-16% Liver ... Rheumatology #Diagnosis #Management