39 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... a mass as the cause ... • Myasthenia Gravis ... large/unreactive pupil ... #Ophthalmology
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
with a left 6th nerve ... palsy Caused ... retraction #nystagmus #ocular ... physicalexam #clinical #video ... #neurology #ophthalmology
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
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... Oculomotor (3rd cranial nerve ... no neurological cause ... : • Trauma • Medication ... differential #diagnosis #neurology
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
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
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Tumor • Motor Nerves ... Guillain-Barre syndrome ... , Myasthenia Gravis ... differential #diagnosis #neurology
Marcus Gunn Phenomenon - Jaw Winking Syndrome

Jaw-winking syndrome is thought to be caused by abnormal innervation
- Jaw Winking Syndrome ... thought to be caused ... the trigeminal nerve ... #clinical #video ... #neurology #physicalexam
Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when the more affected
in Myasthenia Gravis ... Sign #Myasthenia #Gravis ... PhysicalExam #clinical #video ... #neurology #ophthalmology ... #ocular #ptosis
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
in Myasthenia Gravis ... Sign #Myasthenia #Gravis ... PhysicalExam #clinical #video ... #neurology #ophthalmology ... #ocular #Ptosis