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 neurology 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 ... CN12 #clinical #video
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 Haemolacria and Spontaneous Globe Rupture on Physical Exam One of the most horrendous complications of Dengue hemorrhagic
complications of Dengue ... both eyes to find bilateral ... #PhysicalExam #ocular ... #clinical #video ... 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 # ... clinical #video
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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 ... Pulsion #clinical #video ... physicalexam #neurology #ophthalmology
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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 ... #clinical #video ... #physicalexam #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 ... physicalexam #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 ... neurology #clinical #video ... #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 ... PhysicalExam #clinical #video ... #ocular #ophthalmology
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