54 results
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
nerve palsy Caused ... retraction #nystagmus #ocular ... #physicalexam #clinical ... #video #neurology ... #ophthalmology
Continuous B-cell depletion in frequently relapsing, steroid-dependent and steroid-resistant nephrotic syndrome 

Clinical Kidney Journal, , sfy067,
nephrotic syndrome ... Clinical Kidney ... option in the management ... complicated nephrotic syndrome ... NephroticSyndrome #Nephrology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
based on repeat clinic ... • Nephritic syndrome ... Excess: • Conn's syndrome ... Licorice • Liddle's syndrome ... HTN #Secondary #Nephrology
Behcet's Syndrome - Treatment
Ulcers:
 • Treatment: Topical steroids
 • Prevention: Colchicine
 • Azathioprine for refractory disease
Arthritis:
Behcet's Syndrome ... refractory lesions Ocular ... by case) • Surgery ... Behcets #disease #Syndrome ... #Treatment #management
Algorithm for the Diagnosis of Serotonin Syndrome
 - Serotonin syndrome is thought to be caused by
thought to be caused ... administration of medication ... - Clinical findings ... clonus, myoclonus, ocular ... hyperthermia - Most cases
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
dark; • Slow redilation ... Holmes-Adie Syndrome ... dissociation • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Ocular Adverse Effects ... of Systemic Medications ... • Sjögren’s syndrome ... differential #diagnosis #ophthalmology ... #causes
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... infection which causes ... #PhysicalExam #clinical ... #video #ophthalmology ... #neurology #syndrome
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
acetate to help with ocular ... other potential causes ... Ophthalmicus #HZO #clinical ... #video #ophthalmology ... #physicalexam #neurology