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diagnosis management parinauds rheumatology adies algorithm behcet causes central comatose cord disease disorders gravis myasthenia ophthalmology peripheral pineal pupil signs
Parinaud's Syndrome What? - Impaired upgaze - Light-near dissociation - Convergence retraction nystagmus - Eyelid retraction (Collier's
Parinaud's Syndrome ... upgaze - Light-near ... → "setting sun sign ... " - Vascular disease ... diagnosis #pineal #neurology
Parinaud's syndrome What? • Light-near dissociation (tectal pupils) • Convergence retraction nystagmus • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... • Light-near dissociation ... "setting sun" sign ... • Vascular disease ... #neurology #diagnosis
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
6mm); • Light-near ... Holmes-Adie Syndrome ... Young females Differential ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Weakness - Differential ... Lack of UMN/LMN signs ... myopathies, the muscular ... #Weakness #Differential ... #Diagnosis #neurology
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
life-threatening Differential ... test - Cogan sign ... - Peek sign ... : Steroids and NSAIDs ... diagnosis #management #neurology
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
skin injury) • Neurologic ... and diplopia) • Vascular ... Behcet disease) Differential ... Giant retinal tears ... diagnosis #management #signs
Causes of Peripheral and Central Vertigo PERIPHERAL VERTIGO 1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Vascular disorders ... Syndrome usually ... signs or symptoms ... Vertigo #Causes #differential ... #diagnosis #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Cord Disorders - Differential ... • Symptoms and signs ... MCTD, Sjogren syndrome ... disorders #diagnosis #neurology ... #differential
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... purpura: Strong sign ... pulse deficits vascular ... affects the skin, neurologic ... cognitive impairment, neurologic
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Examine for signs ... If ok with ICU team ... caseyalbin #PhysicalExam ... #neurology #comatose
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