19 results
Serotonin-Norepinephrine Reuptake Inhibitors(SNRIs): Mechanisms and Side Effects

Withdrawal: Dizziness, Diarrhea, Insomnia, Nausea, Vomiting
Serotonin Syndrome - Potentially Life
Reuptake Inhibitors(SNRIs ... Vomiting Serotonin Syndrome ... Abnormalities: Ocular ... Dry Mouth #SNRIs ... SideEffects #Psychiatry #Diagnosis
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... dissociation • Other causes ... • Physiologic Anisocoria ... #neurology #ophthalmology
Selective Serotonin Reuptake Inhibitors: Mechanisms and Side Effects
 • Serotonin Syndrome:
   - Autonomic Hyperactivity:
• Serotonin Syndrome ... Abnormalities: Ocular ... Dizziness - Nausea ... sensations) #SSRIs ... SideEffects #Psychiatry #Diagnosis
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... In this case, the ... than 3mm in this case ... ophthalmology #physicalexam ... #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... experience, the cause ... ophthalmology #physicalexam ... #neurology #Anisocoria
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
- Differential Diagnosis ... treat underlying cause ... cirrhosis, nephrotic syndrome ... Meds (Opiates, SSRIs ... #nephrology #sodium
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... #differential #diagnosis ... #ocular
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... involvement: Intractable nausea ... Other brainstem syndromes ... Manifestations #diagnosis ... #neurology #symptoms
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... Commonly caused ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam