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diagnosis clinical physicalexam differential eyelid gravis half hearing loss management ms multiple myasthenia ocular one oneandahalf otolaryngology otology pineal sclerosis
Parinaud's Syndrome What? - Impaired upgaze - Light-near dissociation - Convergence retraction nystagmus - Eyelid retraction (Collier's
Parinaud's Syndrome ... Convergence retraction nystagmus ... Hydrocephalus → "setting ... sign" - Vascular disease ... #pineal #neurology
Parinaud's syndrome What? • Light-near dissociation (tectal pupils) • Convergence retraction nystagmus • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... Convergence retraction nystagmus ... Hydrocephalus -> "setting ... sign • Vascular disease ... #syndrome #neurology
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
EOM testing displayed ... A nystagmus in far ... diagnosed with MS ... #ophthalmology ... #neurology
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 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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 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
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 ... objective evidence of neurologic
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