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neurology algorithm management diplopia movementdisorders physicalexam adies als amyotrophic bradykinetic cns comatose disorders doublevision encephalitis extraocular headache infections lateral localization
Differential diagnoses for the neuro-ophthalmologic finding of diplopia. Neoplastic: • Intraorbital meningioma • Pituitary adenoma
Differential diagnoses ... for the neuro-ophthalmologic ... • Myasthenia gravis ... #Diagnosis #Causes ... #Ophthalmology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Oculomotor) Nerve Palsy ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • CN VI palsy ... ptosis with CN Ill palsy ... #DoubleVision #Differential ... #Causes #Ophthalmology
Causes of Bradykinetic Movement Disorders - Differential Diagnosis Algorithm Parkinson's Disease (TRAP): • Resting Tremor • Cogwheel Rigidity • Akinesia/Bradykinesia •
Causes of Bradykinetic ... Diagnosis Algorithm ... • Cerebellar signs ... #Differential # ... #Causes
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... CN III palsy 2. ... • Third nerve palsy ... #Differential # ... Diagnosis #ophthalmology
Causes of Tremors - Movement Disorders - Differential Diagnosis Algorithm Action Tremor - Occurs During Voluntary Muscle
Causes of Tremors ... Diagnosis Algorithm ... Progressive supranuclear palsy ... Motionless Against Gravity ... #Causes
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Ocular- 50%: Ptosis ... life-threatening Differential ... test - Cogan sign ... - Peek sign ... #neurology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN ... Ill Palsy - ... dissociation • Other causes ... #ophthalmology
Transient Monocular Vision loss - Differential Diagnosis Ischemia - Large artery disease (atherothrombosis, embolus, dissection). -
Vision loss - Differential ... Diagnosis Ischemia ... tumor, trauma, Graves ... Ocular causes - ... #Diagnosis #Ophthalmology
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... syndrome, Myasthenia gravis ... Manifestations #diagnosis ... #neurology #symptoms ... #signs
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