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clinical physicalexam diagnosis differential half hippus ocular one bee bilateral bino causes eyelid gravis hearing internuclear loss management multiple myasthenia
One & a half syndrome with upbeat nystagmus due to a left pontine + bimedullary infarction Dr.
with upbeat nystagmus ... @bobvarkey #OneAndAHalf ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology
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 One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
EOM testing displayed ... diagnosed with MS ... anterior_seg_rocks #OneAndAHalf ... #ophthalmology ... #neurology
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 Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Demyelinating Disease ... (MS), Epidural ... Myelitis, Trauma, Tumor ... Guillain-Barre syndrome ... differential #diagnosis #neurology
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Multiple Sclerosis (MS ... neurodegenerative disease ... nearly 3:1 • MS ... • Or brainstem syndromes ... Incontinence • VISUAL: Nystagmus
BEE Syndromes - Non-inflammatory Causes Immune-mediated conditions affecting the Brain, Eye, and Ear Visual or auditory symptoms in
and less common diseases ... infections • Lyme disease ... sensorineural hearing ... consistent with MS ... #neurology #noninflammatory
Bilateral Internuclear Ophthalmoplegia (BINO) Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Abducting eye nystagmus ... long standing MS ... physicalexam #clinical #video ... #neurology #ophthalmology
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 Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
include a: • Neurologic ... Onset ○ Meniere disease ... II ○ Susac’s syndrome ... Noise trauma ○ MS ... ○ HIV ○ Lyme disease
Ocular Myasthenia Gravis on Physical Exam A 41yo female was referred by her neurologist for double vision.
have a thymic tumor ... , and always ask ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology
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 Hippus on Physical Exam Hippus: alternating dilation and constriction of pupils independent of illumination, convergence or psychic
encephalopathies, MS ... dysfunction, and every disease ... such as parkinson disease ... PhysicalExam #clinical #video ... #neurology #ophthalmology
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 Hippus on Physical Exam Hippus: alternating dilation and constriction of pupils independent of illumination, convergence or psychic
encephalopathies, MS ... dysfunction, and every disease ... such as parkinson disease ... PhysicalExam #clinical #video ... #neurology #ophthalmology
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