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diagnosis differential rheumatology management algorithm alternating behcet bilateral clinical disease doublevision enophthalmos exophthalmos miosis mydriasis ophthalmoplegia painful physicalexam polychondritis proptosis
Important Causes of Diplopia TIER 1-CRITICAL Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn TIER 2-EMERGENT: Vertebral dissection, Myasthenia gravis,
Important Causes ... of Diplopia TIER ... Basilar meningitis, Aneurysmn ... , Orbital apex syndrome ... differential #diagnosis #ophthalmology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia. Neoplastic: • Intraorbital meningioma • Pituitary adenoma
for the neuro-ophthalmologic ... finding of diplopia ... Giant intracranial aneurysm ... Miller-Fisher syndrome ... Differential #Diagnosis #Causes
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Diplopia - Double ... Clinical Pearls: • Diplopia ... a mass as the cause ... Hyperthyroidism #Diplopia ... #Ophthalmology
Causes of SVC Syndrome - Differential Diagnosis Framework • Benign (15-40%): Thrombosis (aka catheter-associated), Goiter, Fibrosing
Causes of SVC Syndrome ... ): Thrombosis (aka ... Infection, Aortic Aneurysm ... SCVMCMed #SVC #Syndrome
Mydriasis and Miosis - Differential Diagnosis Framework Causes of Mydriasis: Dilated pupils (mydriasis) more than 7mm • Unilateral
paralysis (PCA Aneurysm ... response, Serotonin syndrome ... Miosis: Horner's syndrome ... differential #diagnosis #ophthalmology ... #causes
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
Behçet's Syndrome ... (headache and diplopia ... coronary artery aneurysms ... inhibitors • Uveitis- Ophthalmology ... Glucocorticoids 5-ASA
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
tract, and often causes ... Thrombosis and arterial aneurysms ... aortitis, aortic aneurysm ... LFT • ESR • ANA ... #rheumatology #classification
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam Observing this patient in silence for a
The syndrome of ... The cause of this ... arteriovenous aneurysms ... lymphangiomas are the cause ... clinical #video #ophthalmology
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 Causes of Painful Ophthalmoplegia - Differential Diagnosis • Trauma • Autoimmune: 1.
Causes of Painful ... Tolosa-Hunt syndrome ... Aneurysms of the ... Ophthalmoplegia #Causes ... Differential Diagnosis #ophthalmology
Relapsing Polychondritis What is it? Recurrent inflammation of the cartilage in the body (Autoimmune disorder) Who? • Most frequently: 40
hearing loss, nausea ... diseases 30% of cases ... • MAGIC syndrome ... other large vessel aneurysms ... Nonspecific ↑ ESR, CRP, ANA
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