9 results
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... of Horner's syndrome ... the right pupil ... #Syndrome #clinical
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
unilateral; • Slow ... Holmes-Adie Syndrome ... females Differential Diagnosis ... #PhysicalExam # ... neurology #ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
- Differential Diagnosis ... think about three clinical ... Horner’s syndrome ... nerve palsy • Horner ... #Ptosis #neurology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... - Low back pain ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Vestibulo-ocular ... Cough reflex Pupils ... caseyalbin #PhysicalExam ... #diagnosis
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... acetate to help with ocular ... Ophthalmicus #HZO #clinical ... ophthalmology #physicalexam ... #neurology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... anti-Smith Ab, low ... Clinical Features ... : Lungs: • Pleural ... , lymphopenia, low
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
Reconstitution Inflammatory Syndrome ... • AIDS with low ... pulmonary infiltrates, pleural ... skin lesions, ocular ... Zoster flare, ocular
Bladder outlet obstruction (BOO)

Functional obstruction may be caused by detrusor-sphincter dyssynergia (DSD), either at the level
associated with pain syndromes ... prostate adenoma (plural ... histopathologically the nodular ... of symptoms is critical ... scenario, or when a diagnosis