12 results
Physical exam findings of various ocular palsies; image courtesy of the BMJ

R 3rd nerve palsy
R 4th
findings of various ocular ... #Ocular #CranialNerve ... CNIII #CNIV #CNVI #Neurology ... #Diagnosis #Chart ... #Comparison
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Oculomotor) Nerve Palsy ... One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Horner's Syndrome
 • Anhidrosis: Diminished sweating of ipsilateral face and neck
 • Miosis: Loss of sympathetic
Horner's Syndrome ... Ptosis is mild in comparison ... oculomotor nerve palsy ... neudrawlogy #Horners #Syndrome ... #diagnosis #neurology
CN III Palsy - Oculomotor Nerve
 • Ptosis: Loss of innervation of the levator palpebrae superior.
CN III Palsy - Oculomotor ... Ptosis is severe in comparison ... to Horner's syndrome ... Nerve #Cranial #neurology ... #diagnosis
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
CN III palsy 2. ... Neurogenic Ptosis - Neurologic ... • Third nerve palsy ... #Ptosis #neurology ... #ophthalmology
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Differential Diagnosis ... , biopsy By Tess ... #differential #diagnosis ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
- Differential Diagnosis ... cirrhosis, nephrotic syndrome ... Stress, Nausea, ... Pulmonary Diseases ... #nephrology #sodium
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... : • CN Ill Palsy ... #PhysicalExam #neurology ... #ophthalmology
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
Inattentiveness Ocular ... Lateral rectus palsy ... Encephalopathy #Syndrome ... #Triad #Diagnosis ... #Neurology #Thiamine
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... with a right gaze palsy ... the hospital, diagnosed ... clinical #video #ophthalmology ... #neurology