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Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Diagnosis and Management ... nerve ischemia • DDx ... delayed recovery Management ... Palsy #Diagnosis #Management ... #Treatment #Neurology
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
pupil - Light-near ... Robertson #Pupil #neurology ... #diagnosis #ophthalmology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... towards the test ear ... the patient to fix ... #Dix #Hallpike ... Instructions #Diagnosis #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... - no light-near ... #PhysicalExam #neurology ... #ophthalmology
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 • Stand at foot of bed
 • Introduce yourself
Rapid Response Team ... problem • Leading Dx ... & DDx • Orders ... Rapid #Response #Team ... #RRT #Management
Floaters - Differential Diagnosis Framework

What?
Vitreous Floaters:
• Microscopic collagen fibers within the vitreous that tend to clump
eye Flashes DDX ... attacks Floaters DDX ... • Vitritis • Tear ... retina, a retinal tear ... Diagnosis #Ocular #ophthalmology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
PSC BPPV after Dix ... beating to left ear ... BPPV #Posterior #Dix ... #physicalexam #ophthalmology ... #neurology #Frenzel
Hordeolum vs Chalazion

Hordeolum (Stye):
 • Location: Most commonly found at or near an eyelash follicle
 •
commonly found at or near ... Clinical #Diagnosis #Management ... #Ophthalmology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia #Management ... Algorithm #Sodium #nephrology ... #insipidus #DI
TTH48 - Targeted Temperature Management for 48 vs 24 Hours and Neurologic Outcome After Out-of-Hospital Cardiac
Targeted Temperature Management ... vs 24 Hours and Neurologic ... C for 48 hours did ... improve 6-month neurologic ... #Temperature #Management