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differential management causes clinical parinauds physicalexam treatment behcet blurry constipation eyelid gravis half hearing hyponatremia loss ms multiple myasthenia myelitis
Parinaud's Syndrome What? - Impaired upgaze - Light-near dissociation - Convergence retraction nystagmus - Eyelid retraction (Collier's
Convergence retraction nystagmus ... Hydrocephalus → "setting ... sign" - Vascular disease ... #diagnosis #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 ... #neurology #diagnosis
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Demyelinating Disease ... (MS), Epidural ... Myelitis, Trauma, Tumor ... #differential #diagnosis ... #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 ... the hospital, diagnosed ... #ophthalmology ... #neurology
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 Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
skin injury) • Neurologic ... ) Differential Diagnosis ... interferon alfa, or tumor ... inhibitors • Uveitis- Ophthalmology ... #diagnosis #management
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 ... #management #neurology
Ocular Myasthenia Gravis on Physical Exam A 41yo female was referred by her neurologist for double vision.
In-office testing ... , and always ask ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology
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 Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
- Differential Diagnosis ... Approach to Eye Disease ... • Sjögren’s syndrome ... hyperviscosity syndrome ... #ophthalmology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Then, ask 3 questions ... demyelination syndrome ... up to 3x in the setting ... vaptans (HF/liver disease
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
- Differential Diagnosis ... include a: • Neurologic ... II ○ Susac’s syndrome ... Noise trauma ○ MS ... ○ HIV ○ Lyme disease
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