95 results
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... Diplopia TIER 1-CRITICAL ... , Orbital apex syndrome ... URGENT: Brainstem tumor ... differential #diagnosis #ophthalmology
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Clinical Manifestations ... of Serotonin Syndrome ... • Ophthalmologic ... shock) Spectrum of Clinical ... Status (agitated), Tremor
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Diagnosis and Causes ... • Clinical presentation ... Pseudo-acute coronary syndrome ... Recent flu-like syndrome ... #cardiology #MRI
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Electrolyte/fluid shifts caused ... changes and may cause ... severe clinical ... • Diarrhea • Tremors ... are the leading cause
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
• Optic Nerve Tumor ... Midbrain (Parinaud's Syndrome ... ): • Tumor • ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
Causes of spinal ... • Extrinsic Causes ... - Abscess - Tumor ... • Intrinsic Causes ... infarction which can be caused
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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infarct, and other rarer ... causes of right-sided ... #physicalexam #clinical ... #video #jvp #cardiology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... dissociation • Other causes ... trauma/orbital tumor ... PhysicalExam #neurology #ophthalmology
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case) right eye. 
Note that
Horner's Syndrome ... was due to tumor ... UCSD Catalog of Clinical ... Images #Clinical ... #Ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diagnosis Algorithm Clinical ... a mass as the cause ... • Aneurysm • Tumor ... Diagnosis #Algorithm #Causes ... #Ophthalmology