4 results
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Ophthalmoplegia (BINO ... during some of the movements ... long standing MS ... #ocular #physicalexam ... clinical #video #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... abnormal extraocular movements ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... dysfunction to the bilateral ... Casey Albin MD @ ... caseyalbin #PhysicalExam
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
fasciculus), which causes ... (no horizontal movement ... The most common causes ... diagnosed with MS ... #PhysicalExam #