10 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... is caused by a ... Examine for: • Pulse ... ED goal is to reduce ... #Dissection #diagnosis
Seesaw nystagmus 
-> eye move in an opposed vertical fashion (one goes up while the other
down) with same direction ... In addition to the ... commonly parasellar masses ... fibers in the optic ... Seesaw #nystagmus #ophthalmology
Transient Monocular Vision loss - Differential Diagnosis
Ischemia	
 - Large artery disease (atherothrombosis, embolus, dissection).
  -
- Differential Diagnosis ... atherothrombosis, embolus, dissection ... changes in gaze/eye ... Ocular causes - ... #Ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
shows only abduction ... The most common causes ... for retrobulbar optic ... the hospital, diagnosed ... clinical #video #ophthalmology
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
Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
 • Corneal Abrasion
 • Ultraviolet Keratitis
 • Chemical
Traumatic Red Eye ... • Glaucoma • Optic ... #Traumatic #RedEye ... #Algorithm #Causes ... #Ophthalmology
Mediastinal Mass - Differential Diagnosis Framework

Anterior Mediastinal Mass - 5T’s
 • Thymic neoplasm
 • Teratoma (or
- Differential Diagnosis ... dissection ... breath • Chest pain ... blockage) • Eye ... #Differential #Diagnosis
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential Diagnosis ... tract, and often causes ... Arthralgias • Eye ... diminished, or tender pulses ... Eye -> retinopathy
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
patient was having pain ... unusually moist eyes ... last ½ hour • 2 - nausea ... Buprenorphine #Score #Diagnosis ... #Addiction #Nursing
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Arthralgias • Eye ... < 30 years • Aorta ... claudication, pulse ... Arteritis): • Aorta ... tract, and often causes