17 results
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear ... ) Bilateral Internuclear ... long standing MS ... #Bilateral #Internuclear
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Multiple Sclerosis (MS ... nearly 3:1 • MS ... syndromes such as internuclear ... Fulminant Forms of MS ... Lhermitte’s sign • Internuclear
Wall-eyed bilateral inter nuclear ophthalmoplegia (WEBINO) Syndrome

In this specific case, the lesion is bilaterally in the
Walleyed #bilateral #internuclear
Trichodysplasia spinulosa: follicles plugged w/ hyperkeratotic & parakeratotic debris, excessive inner root sheath differentiation towards keratinization.
EM shows intranuclear
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
Wall-eyed bilateral internuclear ... WEBINO #Walleyed #internuclear
Neoplastic plasma cells with nucleoli (left image) and intranuclear Dutcher body (right image).

Dutcher bodies are round,
left image) and intranuclear ... DutcherBody #Bodies #Intranuclear
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
Vereckie Algorithm ... or q wave > 40 ms ... in the last 40 ms ... in the first 40 ms ... #Vereckie #Algorithm
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Syndrome Testing Algorithm ... Urine Free by LC-MS ... /MS) • Adrenocorticotropic ... Syndrome #diagnosis #algorithm
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
one side and an internuclear ... diagnosed with MS
Unilateral Acute Vision Loss - Differential Diagnosis Algorithm
Painful - Cornea
 • Keratopathy
Painful - No Abnormalities of
Differential Diagnosis Algorithm ... Demyelination • MS ... Differential #Diagnosis #Algorithm