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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Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
Bilateral LMN palsy ... with tongue weakness ... Note the wrinkled tongue ... @bobvarkey #tongue ... #physicalexam
Haemolacria and Spontaneous Globe Rupture on Physical Exam

One of the most horrendous complications of Dengue hemorrhagic
complications of Dengue ... encountered during a neurology ... #ocular #clinical ... rupture #ophthalmology ... #dengue #hemolacria
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear ... Internuclear ophthalmoplegia ... #BINO #ocular #physicalexam ... #clinical #video ... #neurology #ophthalmology
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
WEBINO = Wall-eyed bilateral ... internuclear ophthalmoplegia ... #Ocular #clinical ... #ophthalmology ... #neurology
Left Tongue Deviation caused by UMN XII palsy

Looks can be deceiving. The UMN innervation of most
Left Tongue Deviation ... bobvarkey #Left #Tongue ... #CNXII #palsy # ... clinical #video ... #neurology