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diagnosis algorithm ophthalmology adies cauda caudaequina cord dilated diplopia dizziness dizzy doublevision epilepticus equina fixed headaches hearing lesions loss management
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... - Differential ... no neurological cause ... , consider: • Trauma ... diagnosis #neurology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... Young females Differential ... dissociation • Other causes ... (trauma/orbital ... #PhysicalExam #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm True Vertigo - Illusion of Rotary Movement Peripheral Vestibular
- Vertigo - Differential ... Temporal Bone Fracture ... • Ethanol - Trauma ... Dizziness #Vertigo #Neurology ... #Differential #
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • Neurologic ... a mass as the cause ... Orbital Floor Fracture ... large/unreactive pupil
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Demyelinating Disease (MS ... Transverse Myelitis, Trauma ... #differential # ... diagnosis #neurology
Primary and Secondary Headaches - Red Flags and Differential Diagnosis Red Flags (SNOOP): S - Systemic N - Neurologic
Red Flags and Differential ... - Post-Trauma, ... Amy Chung, MD, MSc ... #causes #primary ... secondary #management #neurology
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
Hearing Loss - Differential ... include a: • Neurologic ... tympanic membrane • Neurologic ... ○ MS, CVA • ... #Diagnosis #otology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... other forms of trauma ... Vertebral burst fracture ... syndromes #lesions #differential ... #diagnosis #neurology
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
- Emergency Causes ... neoplasms • trauma ... distinguishing feature ... #diagnosis #causes ... #neurology
Causes of Status Epilepticus in Adults METABOLIC DISTURBANCES Hepatic encephalopathy Hypocalcemia Hypoglycemia or hyperglycemia Hyponatremia Uremia INFECTIOUS PROCESSES Central nervous system abscess Encephalitis Meningitis WITHDRAWAL SYNDROMES Alcohol Antiepileptic drugs Baclofen Barbiturates Benzodiazepines CENTRAL
Causes of Status ... hyperglycemia Hyponatremia ... Eclampsia Head trauma ... Epilepticus #Seizures #Differential ... #neurology
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