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diagnosis pupil alkaline alp anisocoria cobalamin differential evaluation falls geriatrics hepatology hyophosphatasia management nutrition phosphatase recurrent tonic video vitamin
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
unilateral; • Slow ... Diagnosis: • CN Ill Palsy ... dissociation • Other causes ... #Pupil #PhysicalExam ... #neurology #ophthalmology
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
) Deficiency Etiology ... • Common Causes ... intrinsic factor, IF) Clinical ... parasthesias, gait ... #Cobalamin #Deficiency
Low Alkaline Phosphatase - Hypophosphatasia Is Low Alkaline Phosphatase Of Clinical Importance? ALP enzyme- Discovered in 1923 Low
Phosphatase Of Clinical ... • Pernicious anemia ... /B12 deficiency ... respiratory failure • Neurologic ... ) - Waddling gait
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Clinical confirmation ... oculomotor nerve palsy ... #video #ophthalmology ... #physicalexam # ... neurology
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 Evaluation of Recurrent Falls Core Concept: Maintaining an upright posture requires the integrated function of multiple systems. Disruption in
embolism - Severe anemia ... e.g., diabetic, B12 ... deficiency) ... range of motion, gait ... Evaluation #Geriatrics #Neurology
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