12 results
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... clinic with vision loss ... and a Half Syndrome ... #Half #Syndrome ... #neurology
One & a half syndrome with upbeat nystagmus due to a left pontine + bimedullary infarction

Dr.
One & a half syndrome ... with upbeat nystagmus ... #Half #Syndrome ... #ophthalmology ... #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
upbeat (fast phase beating ... tinnitus (Méniére's disease ... ) and hearing loss ... in stroke and multiple ... symptoms #comparison #neurology
Seesaw nystagmus 
-> eye move in an opposed vertical fashion (one goes up while the other
vertical fashion (one ... mesodiencephalic disease ... trauma, lack or loss ... optic chiasm, multiple ... #ophthalmology
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
neurodegenerative disease ... • Or brainstem syndromes ... : • Tumor-like ... Incontinence • VISUAL: Nystagmus ... impairment (Loss
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
include a: • Neurologic ... loss: Bone > Air ... II ○ Susac’s syndrome ... Noise trauma ○ MS ... ○ HIV ○ Lyme disease
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Non-weight bearing ... Seronegative Reactive Syndrome ... - Giant cell tumor ... - Aneurysmal bone ... differential #diagnosis #msk
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Neurogenic Ptosis - Neurologic ... disease affecting ... Botulinum toxin • Multiple ... #Ptosis #neurology ... Differential #Diagnosis #ophthalmology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Myasthenia Gravis on ... , and always ask ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
- Less common ... and nephrotic syndrome ... with positive testing ... Thus, multiple ... of Infectious Diseases