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diagnosis rheumatology differential ophthalmology neurology clinical vasculitis video apex behcet blurry chemicalinjury classification comatose dermatology examination herpes hzo infant newborn
Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
Disease: 1. ... Concussion Other Causes ... • Sjögren’s syndrome ... hyperviscosity syndrome ... ophthalmology #causes
Seesaw nystagmus -> eye move in an opposed vertical fashion (one goes up while the other
nystagmus -> eye ... a sequence of abnormal ... commonly parasellar masses ... mesodiencephalic disease ... #ocular #PhysicalExam
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 Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
ulceration • Ocular ... : Inflammatory eye ... Genital ulcers • Eye ... Leukemia, Lymphoma Ocular ... #diagnosis #management
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... the bilateral cortex ... • Vestibulo-ocular ... movements; also normal ... caseyalbin #PhysicalExam
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Neurologic disease ... nerve palsy • Horner ... effect of some abnormal ... retraction of one eye ... contralateral eye
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
around his left eye ... rash but his left eye ... acetate to help with ocular ... other potential causes ... ophthalmology #physicalexam
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 Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
tract, and often causes ... - Recurrent oral ... • Cogan Syndrome ... Arthralgias • Eye ... Eye -> retinopathy
Chemical Eye Injury: Pathogenesis and clinical findings Exogenous chemical to the eye and/or adnexa • Ammonia, sodium
pH returns to normal ... Acidic injuries cause ... penetration beyond the cornea ... Alkali injuries cause ... #Ocular #opthalmology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Arthralgias • Eye ... strength & enzymes normal ... tract, and often causes ... , and ocular inflammation ... : Ocular inflammatory
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Diagnosis: • Dry eyes ... gland) biopsy • Ocular ... Hypocomplementemia • Can cause ... Pharmacologic: • Severe oral ... Rheumatology #Diagnosis #Management
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