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clinical ophthalmology video pupil anisocoria arm barre cn3 cn7 cniii cnvii comatose conditions cranial dermatomes differential extrarticular extremity facial gbs
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... : • CN Ill Palsy ... #Pupil #PhysicalExam ... #neurology #ophthalmology
CN III Palsy - Oculomotor Nerve • Ptosis: Loss of innervation of the levator palpebrae superior.
Nerve • Ptosis ... Ptosis is severe in comparison ... to Horner's syndrome ... #Cranial #neurology ... #diagnosis
Horner's Syndrome • Anhidrosis: Diminished sweating of ipsilateral face and neck • Miosis: Loss of sympathetic
Horner's Syndrome ... Ptosis is mild in comparison ... to oculomotor nerve ... palsy (levator ... #diagnosis #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Ramsay Hunt Syndrome (Herpes zoster oticus) wit Facial Nerve Palsy Triad: - Ipsilateral facial paralysis -
Ramsay Hunt Syndrome ... Palsy Triad: ... paralysis - ear ... #video #neurology ... clinical #video #physicalexam
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 Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... suggest oculomotor nerve ... palsy. ... ophthalmology #physicalexam ... #neurology
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 One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
One and a Half Syndrome ... Exam This 28 year ... the hospital, diagnosed ... #PhysicalExam # ... ophthalmology #neurology
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 Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
- SLE Neurologic ... Hyperparathyroidism • Facial palsy ... Inflammation of ear ... • Diminished peripheral ... #differential #diagnosis
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... per 100,000 per year ... cross-reacts with peripheral ... or the axon of peripheral ... #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... threat Cranial Nerves ... If ok with ICU team ... caseyalbin #PhysicalExam ... #neurology #comatose
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