Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... suggest oculomotor nerve ... clinical #video #ophthalmology ... #physicalexam # ... neurology
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Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Holmes-Adie Syndrome ... dissociation β€’ Other causes ... β€’ Physiologic Anisocoria ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
acetate to help with ocular ... other potential causes ... clinical #video #ophthalmology ... #physicalexam # ... neurology
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Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... experience, the cause ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria
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Cover - Uncover Test Revealing CNVI Palsy

Here the Cover-Uncover test unmasks subtle right CN VI palsy.
Test Revealing CNVI ... CN6 #Abducens #Nerve ... clinical #video #neurology ... #ophthalmology ... #ocular #physicalexam
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Lower Extremity Dermatomes and Myotomes
Reflexes: 
 β€’ Knee - L2, L3, L4
 β€’ Ankle - S1
β€’ Cauda Equina Syndrome ... Commonly caused ... damage to peroneal nerve ... Myotomes #diagnosis #neurology ... sensory #motor #leg #physicalexam
The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
threat Cranial Nerves ... β€’ Vestibulo-ocular ... Pupils: β€’ Anisocoria ... caseyalbin #PhysicalExam ... #neurology #comatose
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
soles in 50% of cases ... neurosyphilis, cranial nerve ... - Ocular syphilis ... and nephrotic syndrome ... have positive serology