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ophthalmology clinical neurology diagnosis video physicalexam differential ocular management syndrome causes signs symptoms bilateral endocrinology hyperthyroidism orbital treatment apex cantholysis
Bilateral Internuclear Ophthalmoplegia (BINO) Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear ... Ophthalmoplegia ... ) Bilateral Internuclear ... ophthalmoplegia ... #Ophthalmoplegia
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 Wall-eyed bilateral inter nuclear ophthalmoplegia (WEBINO) Syndrome In this specific case, the lesion is bilaterally in the
inter nuclear ophthalmoplegia ... Walleyed #bilateral #internuclear ... #ophthalmoplegia
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 WEBINO on Ocular Examination WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia, b/l ADduction impairment,
Wall-eyed bilateral internuclear ... ophthalmoplegia ... WEBINO #Walleyed #internuclear ... #ophthalmoplegia
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 Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
syndromes such as internuclear ... ophthalmoplegia ... Lhermitte’s sign • Internuclear ... ophthalmoplegia
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
one side and an internuclear ... ophthalmoplegia
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 Ophthalmoplegia secondary to Orbital Apex Syndrome A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
Ophthalmoplegia ... near-complete ophthalmoplegia ... #Ophthalmoplegia
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 Trichodysplasia spinulosa: follicles plugged w/ hyperkeratotic & parakeratotic debris, excessive inner root sheath differentiation towards keratinization.
EM shows intranuclear
Lateral Canthotomy and Cantholysis Primary indications - Decreased visual acuity - Intraocular pressure >
red macula - Opthalmoplegia
Important Causes of Diplopia TIER 1-CRITICAL Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn TIER 2-EMERGENT: Vertebral dissection, Myasthenia gravis,
Graves disease), Ophthalmoplegic
Proptosis - Differential Diagnosis - Unilateral vs Bilateral Unilateral: • Infections (can become bilateral with cavernous sinus
Eye redness • Ophthalmoplegia
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