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 ophthalmoplegia atrophy bino cn12 dengue deviation downbeat fasciculations globe haemolacria hemolacria left lmn nystagmus rupture umn
Bilateral LMN palsy with tongue weakness, wasting and fasciculations. → Bulbar motor Neuron disease Note
Bilateral LMN palsy ... with tongue weakness ... this from an UMN palsy ... #hypoglossal #CNXII ... CN12 #clinical #video
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 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
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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 ... internuclear ophthalmoplegia ... #clinical #video ... #physicalexam #ophthalmology
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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 ... Deviation #UMN #CNXII ... #video #hypoglossal
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 Downbeat Nystagmus on Physical Exam 65 year old female with new walking difficulty and dizziness. Why downbeat
Hence DBN is a great ... as it points to bilateral ... @bobvarkey #DBN ... PhysicalExam #clinical #video ... #ocular #ophthalmology
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