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ophthalmology clinical diagnosis video pupil differential nephrology anisocoria anticonvulsants apex blurry comatose diuresis diuretics encephalopathy excretion half herpes high hyperkalemia
Adie's Pupil on Physical Exam Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... infection which causes ... #Pupil #PhysicalExam ... ophthalmology #neurology ... #syndrome
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 Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... Holmes-Adie Syndrome ... dissociation • Other causes ... #Pupil #PhysicalExam ... #neurology #ophthalmology
Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
Effects of Systemic Medications ... glaucoma • GCA • Adie ... • Sjögren’s syndrome ... hyperviscosity syndrome ... ophthalmology #causes
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... slightly reduced near vision ... Adie’s tonic pupil ... ophthalmology #physicalexam ... #neurology
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 Anticonvulsants as Mood Stabilizers: Mechanism and Side-effect Examples: Valproate, Carbamazepine, Lamotrigine • Mild anticholinergic effect -> Drowsiness
mouth, blurred vision ... Stevens-Johnson Syndrome ... , asthenia • Neurologic ... Systemic effect -> Nausea ... Pathophysiology #Psychiatry #Pharmacology
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
to clinic with vision ... fasciculus), which causes ... The most common causes ... #PhysicalExam # ... ophthalmology #neurology
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 Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
• Seizures • Vision ... may precede the neurologic ... Electrolyte abnormality, Medication ... the underlying cause ... with AEDs until cause
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
Orbital Apex Syndrome ... pupil, and HM vision ... other potential causes ... ophthalmology #physicalexam ... #neurology
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 Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Tumor lysis syndrome ... Medications 2. ... cantaloupe Updated Version ... differential #diagnosis #causes ... potassium #high #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome ... Kidney stones caused ... Excretion #Diuresis #Nephrology ... #Pharmacology # ... Medications #Table
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