11 results
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
to Orbital Apex Syndrome ... A 61-year-old ... Orbital #Apex #Syndrome ... Ophthalmology #PhysicalExam ... #NEJM
Jaw Clonus on Physical Exam

A 24-year-old man presented with progressive dysphagia, dysarthria, and weakness in his
Physical Exam A 24-year-old ... consistent with a diagnosis ... #Jaw #Clonus #PhysicalExam ... ALS #Neurology #NEJM
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Holmes-Adie Syndrome ... females Differential Diagnosis ... - no light-near ... #Adies #Pupil #PhysicalExam
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... Exam This 28 year ... One and a Half Syndrome ... the hospital, diagnosed ... #PhysicalExam #
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... cases/100,000 per year ... - HIV, CMV, EBV ... Guillain-Barre Diagnosis ... #diagnosis #management
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
the differential diagnosis ... Cytomegalovirus; GBM ... hemolytic-uremic syndrome ... heart disease, ear ... proteinuria #nephrotic #syndrome
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential Diagnosis ... HSV, Varicella, EBV ... Seronegative Reactive Syndrome ... #differential #diagnosis ... #msk #physicalexam
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential Diagnosis ... glomerulonephritis) • Anti-GBM ... • Cogan Syndrome ... well as inner ear ... Differential Diagnosis
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... Vasculitis Differential Diagnosis ... pain and GN Anti-GBM ... vasculitis • Cogan syndrome ... #Differential #Diagnosis
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... If ok with ICU team ... caseyalbin #PhysicalExam