29 results
Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
manifestations of Down syndrome ... • Brushfield spots ... iris (pigmented spots ... #Downs #Syndrome ... #PhysicalExam #
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
• Mexion - C8 (median ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
Central Retinal Artery Occlusion (CRAO)
Clinical:
 • Sudden, painless, complete loss of vision 
 • Pale retina
• Cherry red spot ... • Immediate ophthalmology ... Occlusion #CRAO #Diagnosis ... #Clinical #Fundoscopy ... #Ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Nerve palsy • Medial ... One-and-a-half Syndrome ... #Localization #ophthalmology ... #differential #diagnosis
Purtscher Retinopathy on Fundoscopy Ocular Examination

33 year-old who presents 2 weeks after car accident.  Fundus
Retinopathy on Fundoscopy ... with Purtscher syndrome ... #Ocular #PhysicalExam ... clinical #video #ophthalmology ... #Fundoscopy
Chronic Diarrhea - Differential Diagnosis Algorithm
Steatorrhea
 - Maldigestive
    • Pancreatic Insufficiency
 - Primary
- Differential Diagnosis ... Ischemia • Short ... Irritable Bowel Syndrome ... Irritable Bowel Syndrome ... albumin, ESR, endoscopy
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... • Ophthalmologic ... Akathisia, Altered Mental ... ucsdim #Serotonin #Syndrome ... spectrum #signs #diagnosis
Hypertensive Retinopathy on Fundoscopy Ocular Examination

Patient with grade IV hypertensive retinopathy. Papilledema, hemorrhages, and cotton-wool spots
Retinopathy on Fundoscopy ... and cotton-wool spots ... Retina #Ocular #PhysicalExam ... clinical #video #ophthalmology ... #Fundoscopy
Anterior ischemic optic neuropathy (AION) - Recognition of giant cell arteritis (GCA)

1) Is visual loss caused
thrombosis of short ... altitudinal defect • Fundoscopy ... #Rheumatology #Ophthalmology ... #Diagnosis #Algorithm
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology