772 results
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperthyroidism Overview Clinical ... irritation, peri orbital ... Thyroid thrill • Ophthalmoplegia ... hyperthyroidism #causes ... endocrinology #signs #symptoms
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... Diplopia TIER 1-CRITICAL ... encephalopathy, Orbital ... Graves disease), Ophthalmoplegic ... #differential #diagnosis
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 • Infections (can become bilateral with cavernous sinus
- Differential Diagnosis ... Vascular - Orbital ... Eye redness • Ophthalmoplegia ... #Differential #Diagnosis ... Unilateral #Bilateral #Causes
Orbital Cellulitis: Pathogenesis and Clinical Findings
Definitions:
a. Chemosis: Edema of the bulbar conjunctiva
b. Panopthalmitis: inflammation of all
Orbital Cellulitis ... Pathogenesis and Clinical ... eye movement or opthalmoplegia ... ophthalmology #diagnosis ... #signs #symptoms
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
Ophthalmoplegia ... secondary to Orbital ... #Ophthalmoplegia ... #Orbital #Apex ... #Syndrome #Clinical
Tolosa-Hunt Syndrome
What?
 • Unilateral orbital/retrobulbar pain
 • Paresis of the cranial nerves Ill, IV, VI
 •
• Unilateral orbital ... sinus, superior orbital ... fissure or orbit ... resolution of the symptoms ... TolosaHunt #neurology #diagnosis
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... Algorithm Clinical ... • Neurologic symptoms ... a mass as the cause ... #Algorithm #Causes
Atraumatic Red Eye - Differential Diagnosis Algorithm
Lids / Orbit / Lacrimal System:
 • Blepharitis
 • Stye
- Differential Diagnosis ... Algorithm Lids / Orbit ... cellulitis • Orbital ... #Differential #Diagnosis ... #Algorithm #Causes
Wall-eyed bilateral inter nuclear ophthalmoplegia (WEBINO) Syndrome

In this specific case, the lesion is bilaterally in the
inter nuclear ophthalmoplegia ... this specific case ... #internuclear #ophthalmoplegia ... WEBINO #Neurology #Clinical
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
ptosis, severe ophthalmoplegia ... other potential causes ... the condition, case ... steroids (some cases ... Ophthalmicus #HZO #clinical