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differential physicalexam clinical rheumatology abducens adies anisocoria behcet causes cnvii diplopia disease doublevision evaluation facial headache herpes hunt hyponatremia management
Anisocoria Evaluation Flow Chart - Differential Diagnosis 1. Check pupillary reaction to light 2. Measure pupil size.
- Differential Diagnosis ... - Horner's Syndrome ... Anisocoria - CN ... Anisocoria #Evaluation #Algorithm ... #Ophthalmology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... : • CN Ill Palsy ... #PhysicalExam #neurology ... #ophthalmology
Ramsay Hunt Syndrome (Herpes zoster oticus) wit Facial Nerve Palsy Triad: - Ipsilateral facial paralysis -
Ramsay Hunt Syndrome ... paralysis - ear ... #neurology #clinical ... #video #physicalexam ... #CN7 #CNVII
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 Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
Algorithm Red ... papilledema • Horner syndrome ... signs, mid-dilated pupil ... brain lesion • CNS ... #Algorithm #neurology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
cirrhosis, nephrotic syndrome ... Potomania - Tea ... Pulmonary Diseases, CNS ... #Algorithm #diagnosis ... #nephrology #sodium
Left Abducens Spasm on Physical Exam A 50 yr male with left facial spasm and diplopia, with
paroxysmal brainstem syndrome ... Abducens #Spasm #CNVI ... #CN6 #PhysicalExam ... clinical #ocular #ophthalmology ... #neurology #video
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 Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
• CN VI palsy ... for ptosis with CN ... • Neurologic ... large/unreactive pupil ... #Ophthalmology
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
skin injury) • Neurologic ... basal ganglia, CNS ... meningitis), MCC CNS ... Giant retinal tears ... collaboration • CNS
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... Multinucleated giant cells ... affects the skin, neurologic ... cognitive impairment, neurologic ... chorioretinitis, CNS
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