87 results
Dacrocytes (tear drop cells) 
Other poikilocytes resemble a pear or teardrop. The narrow, tapered end
may be
Dacrocytes (tear ... poikilocytes resemble a pear ... may be long or short ... each of the above photos
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
Syndrome A 61-year-old ... retro-orbital pain, near-complete ... Clinical #Video #Ophthalmology ... #PhysicalExam #NEJM
Chondrodermatitis nodularis 
 - Scaly papule on ear, usually helix 
 - Painful, especially when sleeping
Scaly papule on ear ... changes to the ear ... #Dermatology #Diagnosis ... Benign #Clinical #Photo
Halo Sign in Basal Skull Fracture

Halo of lighter liquid around blood spot on the cloth indicates
liquid around blood spot ... leaking from the ear ... Trauma #Clinical #Photo
Low Ankle Sprain: Pathomechanics and Clinical Findings

Grading Ligament Sprains
l: Minimal ligament disruption, mild swelling & tenderness,
II: Incomplete tear ... Ill: Complete tear ... LowAnkleSprain #Sports ... Grading #Grades #Diagnosis
Floaters - Differential Diagnosis Framework

What?
Vitreous Floaters:
• Microscopic collagen fibers within the vitreous that tend to clump
- Differential Diagnosis ... Patients As: • Black spots ... the vision • Spots ... #Differential #Diagnosis ... #Ocular #ophthalmology
Xeropthalmia: Pathogenesis and Ocular Manifestations

Decr Visual pigment -> Keratinization, thickening & non-wetting of the conjunctiva
mucins with reduced tear ... conjunctiva) • Bitot's spots ... pathophysiology #ophthalmology ... #diagnosis #signs
Herpes Zoster Mandibularis - The lesions were scattered along the area that is innervated by the
A presumptive diagnosis ... #Clinical #Photo ... Mandibularis #Rash #NEJM
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
pupil - Light-near ... Pupil #neurology #diagnosis ... #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 ... ALS #Neurology #NEJM