108 results
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 ... #Syndrome #Clinical ... #PhysicalExam #NEJM
Orbital Cellulitis: Pathogenesis and Clinical Findings
Definitions:
a. Chemosis: Edema of the bulbar conjunctiva
b. Panopthalmitis: inflammation of all
Orbital Cellulitis ... Pathogenesis and Clinical ... anterior to the orbital ... eye movement or opthalmoplegia ... • Involves the orbit
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Diplopia TIER 1-CRITICAL ... encephalopathy, Orbital ... Graves disease), Ophthalmoplegic ... Ischemic neuropathy, Orbital ... , pseudotumor, Orbital
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... evaluation for possible orbital ... ptosis, severe ophthalmoplegia ... Orbital Apex Syndrome ... Ophthalmicus #HZO #clinical
Regression of Clubbing after Treatment of Lung Cancer #Clinical #PhysicalExam #Radiology #Clubbing #Regression #LungCancer #CT #NEJM
of Lung Cancer #Clinical ... #PhysicalExam #Radiology ... LungCancer #CT #NEJM
Nystagmus from Wernicke’s Encephalopathy - Magnetic resonance imaging of the brain showed T2 hyperintensities involving the
#Clinical #Radiology ... MRI #Thalamus #NEJM
Hyperkalemia after Missed Hemodialysis - Initial electrocardiogram showed peaked T waves and a prolonged QT segment
segment (Panel A) #Clinical ... #Cardiology #EM ... Hyperkalemia #PeakedT #NEJM
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
think about three clinical ... Supranuclear lesions • Ophthalmoplegia ... laceration or orbital ... prolapse of the orbital
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperthyroidism Overview Clinical ... irritation, peri orbital ... Thyroid thrill • Ophthalmoplegia
Creutzfeldt-Jakob Disease - Magnetic resonance imaging (MRI) revealed hyperintensity of the cortical gyri of the frontal
#Clinical #Neuro ... #Radiology #MRI ... CreutzfeldJakob #NEJM