15 results
Bell's Phenomenon on Physical Exam

Carles Bell realized that when trying to close the eye on the
Physical Exam Carles ... the peripheral facial ... clinical #video #PhysicalExam ... #ophthalmology ... #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential
Bell's Palsy on Physical Examination

Bell’s palsy also affects the forehead but CVA spares forehead. Innervation above
Innervation above facial ... nerve for raising ... bilateral input movement ... Palsy #Forehead #PhysicalExam ... clinical #video #neurology
Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of
Nerve Palsy on ... sleeping as in this case ... PhysicalExam #clinical ... #video #orthopedics ... #msk #sports #neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
hand" ± Horner Syndrome ... nerve in the radial ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Summary Acute AIDP ... Epidemiology: • 1-2 cases ... all extremity, facial ... support (10-30%) • Facial ... management #treatment #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... abnormal extraocular movements ... dissociation • Other causes ... #Adies #Pupil #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
Optic Nerve/Pathway ... or without eye movement ... optic disk • HIV/AIDS ... differential #diagnosis #ophthalmology ... #causes
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... other potential causes ... clinical #video #ophthalmology ... #physicalexam # ... neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
referred in for facial ... experience, the cause ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria