16 results
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... #Pupil #PhysicalExam ... #clinical #video ... ophthalmology #neurology ... #syndrome
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... dissociation • Other causes ... #Pupil #PhysicalExam ... #neurology #ophthalmology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
- Differential Diagnosis ... glaucoma • GCA • Adie ... • Sjögren’s syndrome ... hyperviscosity syndrome ... ophthalmology #causes
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... Clinical confirmation ... Pupil #anisocoria #clinical ... ophthalmology #physicalexam ... #neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
"claw hand" ± Horner ... Syndrome Wrist ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
- Differential Diagnosis ... think about three clinical ... Neurogenic Ptosis - Neurologic ... nerve palsy • Horner ... #Ptosis #neurology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
Optica (NMO) - Clinical ... desaturation, Scotoma, Ocular ... involvement: Intractable nausea ... Manifestations #diagnosis ... #neurology #symptoms
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
An APD was noted ... The most common causes ... the hospital, diagnosed ... #PhysicalExam # ... ophthalmology #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... #clinical #video ... ophthalmology #physicalexam ... #neurology #Anisocoria
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Epidemiology: • 1-2 cases ... Guillain-Barre Clinical ... cardiomyopathy, Horner ... Guillain-Barre Diagnosis ... #treatment #neurology