Boby Varkey Maramattom @bobvarkey
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Lead consultant Neurologist, Aster Medcity, Kochi, India. Internal medicine faculty Royal college of UK https://twitter.com/bobvarkey
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clinical physicalexam video hypoglossal internuclear ophthalmoplegia alternating atrophy bino cn12 dbn dengue downbeat eyes fasciculations gaze globe haemolacria hemolacria left
Bilateral LMN palsy with tongue weakness, wasting and fasciculations. → Bulbar motor Neuron disease Note
Bilateral LMN palsy ... with tongue weakness ... @bobvarkey #tongue ... #hypoglossal #CNXII ... clinical #video #neurology
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 Haemolacria and Spontaneous Globe Rupture on Physical Exam One of the most horrendous complications of Dengue hemorrhagic
complications of Dengue ... encountered during a neurology ... both eyes to find bilateral ... #PhysicalExam #ocular ... globe #rupture #ophthalmology
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 Left Tongue Deviation caused by UMN XII palsy Looks can be deceiving. The UMN innervation of most
Left Tongue Deviation ... cranial nerves is bilateral ... bobvarkey #Left #Tongue ... #CNXII #palsy # ... #physicalexam #neurology
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 WEBINO on Ocular Examination WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia, b/l ADduction impairment,
WEBINO on Ocular ... WEBINO = Wall-eyed bilateral ... ophthalmoplegia #Ocular ... #physicalexam #ophthalmology ... #neurology
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 Ocular Pulsion Ocular pulsion- Eye deviation to the right in this case, on closing eyes (removal of
Ocular Pulsion ... - Eye deviation ... The deviation is ... #physicalexam #neurology ... #ophthalmology
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 Bilateral Internuclear Ophthalmoplegia (BINO) Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear ... @bobvarkey #Bilateral ... Ophthalmoplegia #BINO #ocular ... clinical #video #neurology ... #ophthalmology
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 Periodic Alternating Gaze (PAG) on Physical Exam Periodic Alternating Gaze (PAG) is an involuntary continuous cyclic horizontal
sustained conjugate deviation ... Alternating #Gaze #neurology ... #physicalexam #ocular ... #ophthalmology
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 Downbeat Nystagmus on Physical Exam 65 year old female with new walking difficulty and dizziness. Why downbeat
as it points to bilateral ... clinical #video #ocular ... #ophthalmology ... #neurology
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