49 results
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Typical evaluation ... In this case, the ... than 3mm in this case ... ophthalmology #physicalexam ... #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN ... dissociation • Other causes ... • Physiologic Anisocoria ... #neurology #ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... surgery; as in our case ... Horners #Syndrome #clinical ... #neurology #Anisocoria
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Case description ... prior signs or clinical ... surgeon had a clinical ... • This case should ... Differential diagnosis
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Hypertension - Differential ... based on repeat ... clinic visits, ... HTN #Secondary #Nephrology ... #Differential #
Hydroxyapatite Deposition Disease (HADD) - MSK Radiology
Imaging Findings:
 • Ovoid hypointense structures along the bursal surface
Case description ... • MRI shows globular ... - Limits evaluation ... Differential diagnosis ... #mri #clinical
Osgood-Schlatter Disease - MSK Radiology
Imaging Findings:
 • Infrapatellar fat-pad edema with loss of the patellar tendon
Case description ... • MRI is more sensitive ... tibial tuberosity Differential ... #mri #clinical ... #Radiology #diagnosis
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology
Imaging Findings:
 • Os trigonum which has marrow
Case description ... hallucis longus Differential ... diagnosis for similar ... #mri #clinical ... #Radiology #diagnosis
BEE Syndromes - Non-inflammatory Causes

Immune-mediated conditions affecting the Brain, Eye, and Ear

Visual or auditory symptoms in
• Infiltrating base ... neuropathy (LHON) plus MRI ... lesions and clinical ... BEE #Syndromes #neurology ... noninflammatory #differential
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... (<1 cm), broad based ... heart valves • MRI ... in up to 30% of cases ... often seen • MRI