13 results
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... - Neurologic disease ... #Ptosis #neurology ... #Differential # ... Diagnosis #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
IV (Trochlear) Nerve ... One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Look for ptosis ... • Neurologic ... depressed, abducted, ptosis ... #Causes #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
and ptosis (both ... consistent with a diagnosis ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
Causes of Hemiplegia - Differential Diagnosis Algorithm
Cerebral Hemisphere (Contralateral motor cortex)
 • Aphasia
 • Apraxia
 •
Diagnosis Algorithm ... Dysphagia • Ptosis ... Consciousness • Cranial Nerve ... Brown-Sequard Syndrome ... #Hemiplegia #Neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... developed a complete ptosis ... HZO #clinical #video ... #ophthalmology ... #physicalexam #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... life-threatening Differential ... test - Cogan sign ... - Peek sign ... #management #neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... Diagnosis Framework ... Lack of UMN/LMN signs ... #Weakness #Differential ... #Diagnosis #neurology
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
Diagnosis Framework ... meningeal irritation signs ... the trigeminal nerve ... #diagnosis #ophthalmology ... #Neurology
Rare Causes of Abdominal Pain
 • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
Median arcuate ligament ... Abdominal cutaneous nerve ... Positive Carnett's sign ... Abdominal #Pain #differential ... #diagnosis