193 results
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Corneal reflex ... • Gag reflex ... • Cough reflex ... Pupils: • Anisocoria ... caseyalbin #PhysicalExam
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
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 #
Argyll-Robertson Pupil on Physical Exam
Small (myotic), irregular pupil that do not react to light but do
Argyll-Robertson Pupil ... myotic), irregular pupil ... fibers of the light reflex ... Argyll #Robertson #Pupil ... #PhysicalExam #
Pediatric Primitive Reflexes - Maneuver and Ages

Palmar Grasp Reflex
 - Place your fingers into the baby's
Pediatric Primitive Reflexes ... Plantar Grasp Reflex ... Rooting Reflex ... Reflex) - Hold ... Diagnosis #Neurology #PhysicalExam
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