11 results
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Diagnosis- Compatible syndrome ... PCR 50% sensitive ... Sarcoidosis • Neuro Behcets ... Lesions #Brain #differential ... causes #radiology #neurology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... skin injury) • Neurologic ... syndrome (Clinical ... disease) Differential ... inhibitors • Uveitis- Ophthalmology
One & a half syndrome with upbeat nystagmus due to a left pontine + bimedullary infarction

Dr.
with upbeat nystagmus ... #PhysicalExam # ... clinical #video ... #ophthalmology # ... neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... abduction with nystagmus ... #PhysicalExam # ... #ophthalmology # ... neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... think about three clinical ... CN III palsy 2. ... #Differential # ... Diagnosis #ophthalmology
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
Downbeat nystagmus ... The differential ... #Vertical #Ophthalmology ... #Neurology #Clinical ... Video #Ocular #PhysicalExam
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Diagnosis Algorithm Clinical ... • Neurologic ... Functional • Corneal ... Algorithm #Causes #Ophthalmology
Left Abducens Spasm on Physical Exam

A 50 yr male with left facial spasm and diplopia, with
#Spasm #CNVI #CN6 ... #PhysicalExam # ... clinical #ocular ... #ophthalmology ... #neurology #video
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
treated by his PCP ... Ophthalmicus #HZO #clinical ... #video #ophthalmology ... #physicalexam # ... neurology