14 results
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
to Orbital Apex Syndrome ... A 61-year-old ... Orbital #Apex #Syndrome ... Ophthalmology #PhysicalExam ... #NEJM
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... unilateral; • Slow pupillary ... Holmes-Adie Syndrome ... - no light-near ... #Adies #Pupil #PhysicalExam
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
Behçet's Syndrome ... pathognomonic laboratory ... tests in Behcet syndrome ... Giant retinal tears ... #diagnosis #management
Achenbach’s Syndrome - A previously healthy 66-year-old woman presented with sudden-onset pain and bruising in her
Achenbach’s Syndrome ... previously healthy 66-year-old ... swelling with normal capillary ... AchenbachsSyndrome #Achenbach #Syndrome ... DigitalBleeding #NEJM
Clarkson’s Disease - Capillary leak syndrome
Epidemiology: Roughly 150 published cases, Median age 50 years, No sex
Clarkson’s Disease - Capillary ... Laboratory features ... month at least 1 year ... Clarksons #Disease #Capillary ... #diagnosis #management
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
• Or brainstem syndromes ... ophthalmoplegia • Afferent pupillary ... Laboratory findings ... sclerosis #diagnosis #management
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... Reflexes: • Pupillary ... If ok with ICU team ... caseyalbin #PhysicalExam
Corrigan’s Pulse and Quincke’s Pulse- ...While the patient was sitting upright, the right carotid artery was
thumb exhibited capillary ... in the previous year ... #clinical #photo ... #NEJM #corrigans ... pulse #quinckes #physicalexam
Xanthoma Striatum Palmare- A 49-year-old man was referred to the metabolic clinic for evaluation of severe
Palmare- A 49-year-old ... He had a 2-year ... Laboratory evaluations ... #NEJM #clincal # ... photo #xanthoma
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Semont Liberatory ... affected right ear ... #Semont #Liberatory ... clinical #video #physicalexam ... #management