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305 results

One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with

(no horizontal movement ... The most common causes ... of this are tumors ... #PhysicalExam # ... ophthalmology #neurology

Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro

in Wonderland Syndrome ... macropsia), color, movement ... (Many causes!) ... (e.g. stroke, tumor ... #diagnosis #neurology

Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular

Causes of Dizziness ... Illusion of Rotary Movement ... Dysfunction - Imbalance, neurologic ... Infratentorial Tumors ... Dizziness #Vertigo #Neurology

Adie's Pupil
What? Unknown nature & benign
• Regular and mildly dilated pupil (4-6mm);
• Light-near dissociaton;

Holmes-Adie Syndrome ... dissociation • Other causes ... trauma/orbital tumor ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology

Marcus Gunn Phenomenon - Jaw Winking Syndrome

Jaw-winking syndrome is thought to be caused by abnormal innervation

- Jaw Winking Syndrome ... Jaw-winking syndrome ... thought to be caused ... #clinical #video ... #neurology #physicalexam

Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
• Normal Acid-Base: Low intake
• Metabolic acidosis: Gl tract

SAME, Cushing Syndrome ... Renin secreting tumor ... , Gitelman syndrom ... Diagnosis #Algorithm #causes ... potassium #low #nephrology

Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-

Myoclonus Ataxia Syndrome ... multidirectional fast eye movements ... #PhysicalExam # ... clinical #video ... #neurology #ophthalmology

Locked-In Syndrome on Physical Exam

56 year-old male with acute onset altered sensorium. Suffered a cardiac arrest

Locked-In Syndrome ... Look at the eye movement ... #PhysicalExam # ... clinical #video ... #neurology

Localizing Extraocular Movement Disorders
• CN Ill (Oculomotor) Nerve Palsy
• CN IV (Trochlear) Nerve

Localizing Extraocular Movement ... One-and-a-half Syndrome ... Skew Deviation Casey ... #Extraocular #Movement ... ophthalmology #neurology

Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K

Causes of Hypokalemia ... Defining the cause ... Renin-secreting tumor ... diagnosis #algorithm #causes ... #nephrology #potassium

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