46 results
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
secondary to Orbital Apex ... Syndrome A 61 ... Ophthalmoplegia #Orbital #Apex ... #Syndrome #Clinical ... #PhysicalExam #NEJM
BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear

Visual or auditory symptoms in conjunction
BEE Syndromes - ... causes: • Susac syndrome ... disease • Cogan syndrome ... • Sjögren syndrome ... #neurology #inflammatory
Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
Parinaud's Syndrome ... upgaze - Light-near ... gabifpucci #Parinauds #Syndrome ... #diagnosis #pineal ... #neurology
BEE Syndromes - Non-inflammatory Causes

Immune-mediated conditions affecting the Brain, Eye, and Ear

Visual or auditory symptoms in
BEE Syndromes - ... recessive—Usher syndrome ... • Harding’s syndrome—Leber ... MS • Other • Syndromes ... aura #BEE #Syndromes
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... • Light-near dissociation ... neudrawlogy #Parinauds #syndrome ... #neurology #diagnosis
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
- Differential Diagnosis ... Independent: • Tea ... and Toast Syndrome ... failure, nephrotic syndrome ... Algorithm #causes #nephrology
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 ... tumors along the apex ... anterior_seg_rocks #Horners #Syndrome
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 ... #PhysicalExam #neurology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... cardiomyopathy, Horner syndrome ... Miller Fisher Syndrome ... Guillain #Barre #Syndrome ... #diagnosis #management
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
hyperviscosity syndrome ... #Priapism #Diagnosis ... #Management #Urology