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differential causes algorithm physicalexam blurry comatose cord dysarthria headache localization miosis movement mydriasis ocular photophobia pupil spinal spinalcord vision
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... : • CN Ill Palsy ... - abnormal extraocular ... #PhysicalExam #neurology ... #ophthalmology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Movement Disorders ... One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Mydriasis and Miosis - Differential Diagnosis Framework Causes of Mydriasis: Dilated pupils (mydriasis) more than 7mm • Unilateral
- Differential Diagnosis ... closure glaucoma, Adie's ... Miosis: Horner's syndrome ... #differential #diagnosis ... #ophthalmology
Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
- Differential Diagnosis ... photophobia - Bilateral ... headache: - Bilateral ... #ophthalmology ... #Neurology
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 ... Extraocular Muscles ... glaucoma • GCA • Adie ... • Sjögren’s syndrome ... #ophthalmology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... dysfunction to the bilateral ... • Gag reflex ... #PhysicalExam #neurology
Causes of Dysarthria - Differential Diagnosis Algorithm Lower Motor Neuron - Slow, Low Volume, Breathy Speech, Tongue
jerk, hyperactive gag ... reflex. ... Emotional lability • Bilateral ... Paraneoplastic Disorder ... #Dysarthria #Neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Spinal Cord Disorders ... Tract Lesions: • Bilateral ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... #diagnosis #neurology
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