56 results
Undifferentiated critical congenital heart disease: Patterns of Presentation 
Pink baby:
 • Presents at 1-6 mo
Presentation Pink baby ... canal defect, pink Tetralogy ... Fallot Blue baby ... screens catch blue baby ... most often Gray baby
Selective Serotonin Reuptake Inhibitors: Mechanisms and Side Effects
 • Serotonin Syndrome:
   - Autonomic Hyperactivity:
Abnormalities: Ocular ... Clonus, Tremor, ... - Nausea - Tremor
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Boby Varkey Maramattom ... retraction #nystagmus #ocular
Amiodarone Toxicity and Monitoring

Tremor Ataxia 
Ocular neuritis 
Corneal Microdeposits 
Bradycardia 
Pulmonary fibrosis 
Hepatotoxicity 
Blue-gray skin
Monitoring Tremor ... Ataxia Ocular
Serotonin-Norepinephrine Reuptake Inhibitors(SNRIs): Mechanisms and Side Effects

Withdrawal: Dizziness, Diarrhea, Insomnia, Nausea, Vomiting
Serotonin Syndrome - Potentially Life
Abnormalities: Ocular ... Clonus, Tremor,
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Ophthalmologic: Mydriasis, Ocular ... Status (agitated), Tremor
Haemolacria and Spontaneous Globe Rupture on Physical Exam

One of the most horrendous complications of Dengue hemorrhagic
Boby Varkey Maramattom ... #PhysicalExam #ocular
Acute Dystonic Tremor after CVA

Acute dystonic tremor is an exceedingly rare manifestation of a stroke. This
Acute Dystonic Tremor ... Acute dystonic tremor ... jts and postural tremors ... Boby Varkey Maramattom ... #Dystonic #Tremor
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Her ocular exam ... Seronegative ocular ... have a thymic tumor ... anterior_seg_rocks #eyelid #Ocular
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Ocular Adverse Effects ... Optic neuritis • Tumor ... Detachment • Macular ... retinopathy • Macular