21 results
Bell's Phenomenon on Physical Exam

Carles Bell realized that when trying to close the eye on the
trying to close the eye ... Bells #Phenomenon #Sign ... clinical #video #PhysicalExam ... #ophthalmology ... #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
for retrobulbar optic ... the hospital, diagnosed ... Half #Syndrome #PhysicalExam ... clinical #video #ophthalmology ... #neurology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Post-infectious GN - Loin pain ... syndrome: • Flank pain ... hematuria • Signs ... renal vein between aorta ... #causes #urology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
Manifestations • Optic ... /pain upon eye movement ... Manifestations #diagnosis ... #neurology #symptoms ... #signs
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... Limb ischemia • Aortic ... refill - Poor pulses ... #differential #diagnosis ... extremity #msk #physicalexam
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
- Differential Diagnosis ... Concussion Other Causes ... pain (with or without ... #ophthalmology ... #causes
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria
Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later
test (Romberg's sign ... Observe when patient closes ... Rombergs #Test #neurology ... #diagnosis #proprioception ... #physicalexam
Superior oblique myokymia 

Superior oblique myokymia causes a repetitive, high frequency intorsion of the eye, leading
oblique myokymia causes ... Satisfying to diagnose ... oblique #myokymia #Ophthalmology ... #SlitLamp #Clinical ... #physicalexam #
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
- Differential Diagnosis ... meningeal irritation signs ... Disorder of the eyes ... #ophthalmology ... #Neurology