10 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... Diagnosis: • CN ... abnormal extraocular movements ... #Pupil #PhysicalExam ... #neurology #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... Fasciculus (MLF) Iniury ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Awareness • Injury ... threat Cranial Nerves ... • Vestibulo-ocular ... caseyalbin #PhysicalExam ... #neurology #comatose
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
Spinal Cord Injury ... by Nerve Root Levels ... C6 Dorsal Thumb ... Wrist Extension ... differential #diagnosis #Neurology
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Light Reflex, Accommodation ... Ocular Movements ... Optic Nerve / Disc ... EyeExamination #Approach #Ophthalmology ... #PhysicalExam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... , T1 (median) Reflexes ... spared in this injury ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Traumatic Lateral Rectus Palsy on Ocular Examination

Impaired left lateral eye movement with left gaze after MVA.
left lateral eye movement ... Abducens #CNVI #CN6 ... #Ocular #physicalexam ... clinical #video #neurology ... #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... suggest oculomotor nerve ... clinical #video #ophthalmology ... #physicalexam # ... neurology
Cover - Uncover Test Revealing CNVI Palsy

Here the Cover-Uncover test unmasks subtle right CN VI palsy.
#CNVI #Palsy #CN6 ... #Abducens #Nerve ... clinical #video #neurology ... #ophthalmology ... #ocular #physicalexam
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
Traumatic brain injury ... glaucoma - Ocular ... the trigeminal nerve ... differential #diagnosis #ophthalmology ... #Neurology