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The Clinical Problem Solvers

Episode 263: Neurology VMR – Diplopia

The Clinical Problem Solvers

The Clinical Problem Solvers

Science & Medicine, Medicine, Education, Higher Education

4.7528 Ratings

🗓️ 3 November 2022

⏱️ 67 minutes

🧾️ Download transcript

Summary

Transcript

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0:00.0

Hey folks, just a quick reminder that this episode is not meant to be used for medical advice,

0:06.9

just good old-fashioned education.

0:08.5

All patient information has been modified to protect their identity, and the views expressed

0:12.4

in our podcast do not necessarily reflect the opinion of our employers.

0:19.3

Good evening, clinical problem solvers.

0:22.2

Nice to see everyone after a long break.

0:24.3

Let's go ahead.

0:24.8

John, do you want to give us just the chief concern, chief complaint, and we'll go from there.

0:31.8

It is Diplopia.

0:34.9

Diplopia.

0:36.0

Excellent.

0:37.1

All right. See, big smiles from Valeria and Madalya. We're playing a game show. Big smiles from Madalena and Valeria on Diplopia. So we'll let you both take a crack at it. Valeria. Do you want to tell us what came to mind or why you're smiling so broadly for this chief concern as I am.

0:58.6

Yeah, I think for sure it's one of my favorite differential.

1:00.8

I was just by learning from you, actually.

1:09.0

So yeah, I definitely think Diplopia would think of a misalignment of the muscles of the eye.

1:15.7

So in that case, I would like to know if first if it's monocular or binocular dipolopia,

1:24.5

in which case you can follow the whole pathway of vision and muscle movements, so to speak. And usually I think the most, so the binocular diplopias the one in which there's this

1:31.5

misalignment of the eyes.

1:34.1

And, you know, going back from the nuclei of the cranial nerves that control the muscles,

1:41.3

it will go to the brain stem.

1:43.0

And then you can see the nerves that go out of the brain

1:46.6

stain nuclei, in which case, you know, you can have something that happens to the nerve,

...

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