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clinical neurology syndrome algorithm differential adies alternating anisocoria bilateral diplopia doublevision enophthalmos exophthalmos half herpes horners hzo nejm one oneandahalf
Ophthalmoplegia secondary to Orbital Apex Syndrome A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
Apex Syndrome ... of vision, and facial ... #Clinical #Video ... #Ophthalmology ... #PhysicalExam #NEJM
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 Traumatic Red Eye - Differential Diagnosis Algorithm Surface Injury: • Corneal Abrasion • Ultraviolet Keratitis • Chemical
Rim/Mid-facial ... Apex Injury / Retrobulbar ... iridodialysis • Pupil ... #Algorithm #Causes ... #Ophthalmology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
females Differential Diagnosis ... dissociation • Other causes ... (trauma/orbital ... #PhysicalExam # ... neurology #ophthalmology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
Orbital Apex Syndrome ... a non-reactive pupil ... Orbital Apex Syndrome ... HZO #clinical #video ... #ophthalmology
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 Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
- Differential Diagnosis ... a mass as the cause ... Tumor • Orbital ... large/unreactive pupil ... #Ophthalmology
Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... tumors along the apex ... experience, the cause ... how the right pupil ... #ophthalmology
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 Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam Observing this patient in silence for a
No orbital bruit ... Patient underwent a diagnostic ... Bilateral #clinical #video ... #ophthalmology ... #physicalexam #Respiratory
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 One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
the follow up video ... the hospital, diagnosed ... Half #Syndrome #PhysicalExam ... #clinical #video ... #ophthalmology
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