Third cranial nerve palsy
51 Third cranial nerve palsy Instruction Examine this patient’s eyes. Salient features History • Diplopia in all directions except on lateral gaze to the side of the third nerve lesion…
Cerebellar dysarthria
50 Cerebellar dysarthria Instruction Ask this patient a few questions. Salient features Examination • The speech may be scanning (enunciation is difficult, words are produced slowly and in a measured…
Infective endocarditis
17 Infective endocarditis Instruction This patient is suspected to have endocarditis; would you like to examine him? Salient features History • Fever, malaise, anorexia, weight loss, rigors: non-specific symptoms of…
Jerky nystagmus
47 Jerky nystagmus Instruction Examine this patient’s eyes. Test the patient’s eye movements. Salient features History • Obtain a history regarding cerebellar syndrome: multiple sclerosis, alcohol, etc. (case 46) •…
Palpitations
10 Palpitations Instruction This patient has palpitations: would you like to ask her a few questions? Salient features History • How old are you? Supraventricular tachycardias (SVT), particularly ones that…
Cerebellar syndrome
46 Cerebellar syndrome Instruction Examine this patient, who presented with a history of falling to one side. Demonstrate the cerebellar signs. Salient features History • History of falls, wide-based gait,…
Tunnel vision
44 Tunnel vision Instruction Examine this patient’s eyes. Examine this patient’s visual fields. Salient features • Intact central vision with constriction of the peripheral fields • Proceed by examine for…
Bitemporal hemianopia
42 Bitemporal hemianopia Instruction Examine this patient’s eyes. Examine this patient’s visual fields. Salient features History • Insidious onset of defects in visual field. Involvement of the macula is late…
Eisenmenger syndrome
28 Eisenmenger syndrome Instruction Examine this patient’s heart. Examine this patient’s cardiovascular system. Salient features History • Symptoms may not appear until early late childhood or early adulthood • Cyanosis…
