59 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
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Clinical Manifestations ... of Serotonin Syndrome ... • Ophthalmologic ... shock) Spectrum of Clinical ... #diagnosis
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Pupillary Defects - Differential ... Diagnosis Algorithm ... Syphilis (light-near ... Midbrain (Parinaud's Syndrome ... #Causes #Ophthalmology
Primary Sjogren’s Syndrome: Pathogenesis and Clinical Findings
• Primary Sjögren's is a solitary process whereas secondary Sjögren's
Pathogenesis and Clinical ... erythematosus (SLE) Signs ... - Decreased tear ... Pathophysiology #Diagnosis ... #Signs #Symptoms
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
Problem Representation

An evolving summary of a patient’s clinical presentation that strives to identify 
(1) Clinical syndrome
of a patient’s clinical ... identify (1) Clinical ... syndrome (signs ... • Educating a team ... Representation #diagnosis
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Respiratory Distress Syndrome ... submassive PE) POCUS ... #pulmonary #differential ... #diagnosis #signs ... #Lung #POCUS #ultrasound
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Diplopia TIER 1-CRITICAL ... , Orbital apex syndrome ... Miller-Fisher syndrome ... mass #Diplopia #differential ... #diagnosis #ophthalmology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c #clinical ... cardiology #McConnells #sign
Medial Meniscus Bucket Handle Tear - MSK Radiology
Imaging Findings:
 • Truncation of the medial meniscus on
Bucket Handle Tear ... The "double PCL sign ... Differential diagnosis ... #knee #mri #clinical ... #Radiology #diagnosis