14 results
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
facial swelling and eyelid ... following neck surgery ... induced by treatment/surgery ... ophthalmology #physicalexam ... #neurology #Anisocoria
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Neurogenic Ptosis - Neurologic ... lens wearing • Ocular ... surgery Congenital ... #Ptosis #neurology ... ophthalmology #ocular
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... trauma/orbital tumor ... • Physiologic Anisocoria ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... have a thymic tumor ... anterior_seg_rocks #eyelid ... #Gravis #PhysicalExam ... ophthalmology #neurology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
ulceration • Ocular ... skin injury) • Neurologic ... Medium and large also ... Leukemia, Lymphoma Ocular ... interferon alfa, or tumor
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Vestibulo-ocular ... Pupils: • Anisocoria ... horizontal movements; also ... myoclonic movements, tremors ... #neurology #comatose
Locked-in Syndrome (LiS) in ALS

What happens when ALS patients opt for mechanical ventilation? They can become
Locked-in Syndrome ... (LiS) in ALS ... #LockedIin #Syndrome ... #video #physicalexam ... #ocular #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
thyroid, Sjogren syndrome ... Ocular- 50%: Ptosis ... Generalized fatigue - ALS ... Drugs, infection, surgery ... diagnosis #management #neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... acetate to help with ocular ... 10mg/kg/8hr and also ... ophthalmology #physicalexam ... #neurology
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... directed towards the myelin ... Meningococcal), surgery ... Guillain #Barre #Syndrome ... diagnosis #management #neurology