10 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... trauma/orbital tumor ... #Pupil #PhysicalExam ... #neurology #ophthalmology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
such as cogan sign ... have a thymic tumor ... #PhysicalExam # ... clinical #video ... ophthalmology #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... life-threatening Differential ... test - Cogan sign ... - Peek sign ... diagnosis #management #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... Syphilis should ... anisocoria #clinical #video ... ophthalmology #physicalexam ... #neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... system: Brain tumor ... Postsynaptic: Myasthenia Gravis ... Lack of UMN/LMN signs ... #Diagnosis #neurology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
ulceration • Ocular ... skin injury) • Neurologic ... Behcet disease) Differential ... interferon alfa, or tumor ... diagnosis #management #signs
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... purpura: Strong sign ... proximal muscles of shoulder ... affects the skin, neurologic ... cognitive impairment, neurologic
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Vestibulo-ocular ... myoclonic movements, tremors ... • Examine for signs ... #neurology #comatose
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
) The examiner grasps ... patient's head and ... positional #vertigo #neurology ... instructions #clinical #video ... #physicalexam #
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
) The examiner grasps ... patient's head and ... positional #vertigo #neurology ... instructions #clinical #video ... #physicalexam #