Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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8 results
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... #Extraocular #Movement ... ophthalmology #neurology ... #differential # ... diagnosis #ocular
Causes of Facial Weakness - Differential Diagnosis Algorithm
Forehead Sparing = Central cause
  - Most commonly
Diagnosis Algorithm ... (2% of facial nerve ... palsy) - Unilateral ... : Bell's Palsy ( ... #Causes #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... suggest oculomotor nerve ... palsy. ... #clinical #video ... #physicalexam #neurology
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Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN Ill Palsy ... abnormal extraocular movements ... • Physiologic Anisocoria ... #PhysicalExam #neurology
Traumatic Lateral Rectus Palsy on Ocular Examination

Impaired left lateral eye movement with left gaze after MVA.
Rectus Palsy on ... Ocular Examination ... eye movement with ... physicalexam #clinical #video ... #neurology #ophthalmology
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Bell's Palsy on Physical Examination

Bell’s palsy also affects the forehead but CVA spares forehead. Innervation above
Innervation above facial nerve ... and forehead is bilateral ... input movement ... PhysicalExam #clinical #video ... #neurology
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The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... dysfunction to the bilateral ... threat Cranial Nerves ... • Vestibulo-ocular ... Pupils: • Anisocoria
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
Characteristic eye movements ... The differential ... Video by Kathleen ... Ophthalmology #Neurology ... #Ocular #PhysicalExam
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