39 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
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Diagnosis Algorithm ... Syphilis (light-near ... Midbrain (Parinaud's Syndrome ... #Diagnosis #Algorithm ... #Causes #Ophthalmology
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Independent: • Tea ... and Toast Syndrome ... #Diagnosis #Algorithm
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Diagnosis 1. ... - Horner's Syndrome ... Anisocoria #Evaluation #Algorithm ... #Differential # ... Diagnosis #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN ... PhysicalExam #neurology #ophthalmology
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
• Esophagus: Tear ... Weiss, Boerhaave syndrome ... Lower #GIBleed #differential ... #diagnosis #Causes ... #algorithm
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... cirrhosis, nephrotic syndrome ... Potomania - Tea ... #Diagnosis #Algorithm
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 • Isolated
 • Polyglandular autoimmune syndrome 1
 •
Insufficiency - Differential ... Diagnosis Algorithm ... Polyglandular autoimmune syndrome ... Thrombophilia • Critical ... #Diagnosis #Algorithm
Sensorineural Hearing Loss - Differential Diagnosis Algorithm

Asymmetric Sensorineural Hearing Loss: 
 • Neoplastic (Vestibular Schwannoma)
 •
Hearing Loss - Differential ... Diagnosis Algorithm ... Cochlear (Inner-Ear ... Autoimmune (Cogan's Syndrome ... #Diagnosis #Algorithm
Iron Deficiency Anemia - Differential Diagnosis Algorithm

Labs: Ferritin, iron, transferrin, TIBC, TSAT, sTfR

 • Blood loss:
Deficiency Anemia - Differential ... Diagnosis Algorithm ... Gastrectomy, WHDA syndrome ... diet, Alcoholism, Tea-toast ... #Diagnosis #Algorithm