90 results
Wall-eyed bilateral inter nuclear ophthalmoplegia (WEBINO) Syndrome

In this specific case, the lesion is bilaterally in the
inter nuclear ophthalmoplegia ... (WEBINO) Syndrome ... #internuclear #ophthalmoplegia ... #WEBINO #Neurology
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
Ophthalmoplegia ... secondary to Orbital Apex ... near-complete ophthalmoplegia ... #Ophthalmoplegia ... #Orbital #Apex
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
WEBINO on Ocular ... Examination WEBINO ... bilateral internuclear ophthalmoplegia ... @bobvarkey #WEBINO ... #internuclear #ophthalmoplegia
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
encephalopathy, Orbital apex ... Graves disease), Ophthalmoplegic ... pseudotumor, Orbital apex
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... ptosis, severe ophthalmoplegia ... at the orbital apex ... Orbital Apex Syndrome ... nerves at the apex
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear Ophthalmoplegia ... (BINO) Bilateral ... Internuclear ophthalmoplegia ... #Internuclear #Ophthalmoplegia ... #BINO #ocular #
Lateral Canthotomy and Cantholysis 
Primary indications 
 - Decreased visual acuity 
 - Intraocular pressure >
red macula - Opthalmoplegia
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
risk factors - PEX ... HTN, cocaine - PEX ... risk factors - PEX ... SLE, uremia) - PEX ... h/o trauma - PEX
Checking Invasive Devices Using Chest X-Rays

- Dr. Alex Psirides @psirides

#Diagnosis #Anatomy #Radiology #CriticalCare #Lines #Devices #Tubes
Alex Psirides @psirides
Double Apical Impulse (S4) Visualization on Physical Exam - Hi-Res Video Version: https://www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs

On palpation, the PMI
of the cardiac apex ... heard over the apex