522 results
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
to Orbital Apex Syndrome ... Orbital #Apex #Syndrome ... #Clinical #Video ... #Ophthalmology ... #PhysicalExam #NEJM
Ramsay Hunt Syndrome - Herpes Zoster Oticus 
Triad:
1. Ipsilateral facial paralysis 
2. Ear pain 
3. Vesicles
Ramsay Hunt Syndrome ... Ear pain 3. ... Guillain-Barré syndrome ... • Stroke syndromes ... HerpesZoster #Oticus #Diagnosis
Acanthosis Nigricans and Insulin Resistance - A 27-year-old woman presented with a 2-year history of acanthosis
Resistance - A 27-year-old ... presented with a 2-year ... Panels A and B) #Clinical ... Acanthosis #Nigricans #NEJM
BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear

Visual or auditory symptoms in conjunction
BEE Syndromes - ... brain, eye, and ear ... important, as early diagnosis ... • Sjögren syndrome ... #differential #diagnosis
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Holmes-Adie Syndrome ... females Differential Diagnosis ... - no light-near ... PhysicalExam #neurology #ophthalmology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Syphilis (light-near ... Midbrain (Parinaud's Syndrome ... #Differential #Diagnosis ... Algorithm #Causes #Ophthalmology
Bilateral Lens Dislocation in Marfan syndrome - Slit Lamp Ocular Examination

Dr. Sebastian Vega @oftalmopo

#Bilateral #Lens #Dislocation
Dislocation in Marfan syndrome ... Dislocation #Marfan #syndrome ... #PhysicalExam #clinical ... #video #ophthalmology
Jaw Clonus on Physical Exam

A 24-year-old man presented with progressive dysphagia, dysarthria, and weakness in his
Physical Exam A 24-year-old ... consistent with a diagnosis ... #PhysicalExam #Clinical ... ALS #Neurology #NEJM
VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory, Somatic) Syndrome
Clinical Syndrome:
 • Common Clinical Features: alveolitis, ear and
Clinical Syndrome ... : • Common Clinical ... Features: alveolitis, ear ... myelodysplastic syndrome ... myeloid cells NEJM
Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
Parinaud's Syndrome ... upgaze - Light-near ... gabifpucci #Parinauds #Syndrome ... #diagnosis #pineal