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diagnosis neurology physicalexam adies clinical algorithm anisocoria clues cn4 diplopia disorders doublevision extraocular headache localization myokymia oblique ocular signs superior
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Palsy • CN IV ... palsy • CN VI ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Young females Differential ... Ill Palsy - ... abnormal extraocular movements ... dissociation • Other causes ... #neurology #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • CN VI palsy ... Ill palsy ... large/unreactive pupil ... #Ophthalmology
Superior Oblique Myokymia Eye movement disorder where the superior oblique twitches periodically causing jumping of a
Myokymia Eye movement ... It is probably caused ... the trochlear nerve ... #physicalexam #video ... #CNIV
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 Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
suggest oculomotor nerve ... palsy. ... anterior_seg_rocks #Adies ... anisocoria #clinical #video ... #ophthalmology
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 Signs and Symptoms Associated With Different Headache Etiologies • Nonfocal mental status changes - Meningitis, encephalitis,
with third nerve ... palsy - Tentorial ... • Extraocular movement ... deficits (CN Ill ... #differential #
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