PhysicalExam surgery ophthalmology reflex nystagmus bppv vertical ophthalmoplegia beriberi downbeat

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Acquired Downbeat Nystagmus

This 62 yo AA female reported to clinic for retinal evaluation of diabetic PDR.

Acquired Downbeat ... A downbeat nystagmus ... rather than perform surgery ... #video #ophthalmology ... #physicalexam #

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