1958 results
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... a sudden onset anisocoria ... the exception of anisocoria ... denotes anisocoria ... ophthalmology #physicalexam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... causes of tonic pupil ... • Physiologic Anisocoria ... #PhysicalExam #
Medication Induced Anisocoria

Young female that was referred for possible blown pupil, that was only mildly responsive
Medication Induced Anisocoria ... possible blown pupil ... Medication #Induced #Anisocoria ... video #ocular #physicalexam
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
how the right pupil ... ophthalmology #physicalexam ... #neurology #Anisocoria
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Anisocoria Evaluation ... Measure pupil size ... If anisocoria iS ... noted, re-measure pupil ... - Adie's Tonic Pupil
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
Overview - Unequal Pupils ... (anisocoria) ... - Tonic pupil (Adie's ... - Equal Pupils ... Differential #Types #Anisocoria
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Anisocoria - Pupillary ... ( Anisocoria ... - 10% cocaine: pupils ... Tonic (Adie's) Pupil ... #Pupillary #Pupils
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Isocoria - Pupillary ... Relative Afferent Pupil ... Neuropathy Constricted Pupils ... Amphetamines #Isocoria ... #Pupillary #Pupils
Pupils: Localization in Coma
 • Small, Reactive pupils: Metabolic coma.
 • Unilateral Fixed, dilated pupil :
Pupils: Localization ... Small, Reactive pupils ... Fixed, dilated pupil ... • Pinpoint pupils ... #Pupils #Localization
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
Both pupils should ... Both pupils remain ... Both pupils remain ... Instead of pupil ... #Diagnosis #PhysicalExam