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rheumatology causes management signs vasculitis algorithm alternating behcet bilateral blurry classification clinical diplopia disease disorders doublevision enophthalmos exophthalmos extraocular floaters
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Nerve palsy • Medial ... One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Clinical Manifestations of Serotonin Syndrome • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements) • Gastrointestinal: Diarrhea,
• Ophthalmologic ... : Mydriasis, Ocular ... Akathisia, Altered Mental ... #Symptoms #spectrum ... #signs #diagnosis
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • Neurologic symptoms ... Refractive Error • Cataract ... depress when looking medially ... #Causes #Ophthalmology
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
meningitis), MCC CNS symptoms ... Medium and large ... Behcet disease) Differential ... inhibitors • Uveitis- Ophthalmology ... #signs #symptoms
Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
Blurry Vision - Differential ... Diagnosis Framework ... Uveitis Lens: • Cataracts ... • Sjögren’s syndrome ... #diagnosis #ophthalmology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
Vasculitides - Differential ... Diagnosis Framework ... + MPO-ANCA MEDIUM ... Presentation - Systemic Symptoms ... aortic aneurysm • Medium
Floaters - Differential Diagnosis Framework What? Vitreous Floaters: • Microscopic collagen fibers within the vitreous that tend to clump
Diagnosis Framework ... Retinal Detachment: Symptoms ... • Myopia • Cataract ... #Diagnosis #Ocular ... #ophthalmology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... Diagnosis Framework ... Presentation: Systemic Symptoms ... primary condition MEDIUM ... • Progressive symptoms
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
Reconstitution Inflammatory Syndrome ... a few months (median ... skin lesions, ocular ... Zoster flare, ocular ... #Differential #
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam Observing this patient in silence for a
Patient underwent a diagnostic ... patient- bilateral symptoms ... The syndrome of ... Differentials for ... #physicalexam #
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