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differential physicalexam adies symptoms algorithm anisocoria behcet causes clinical comatose dilated diplopia disease disorders doublevision extraocular fixed headache localization management
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... - Differential Diagnosis ... cranial nerve) Palsy ... artery aneurysm (Compression ... #neurology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... females Differential Diagnosis ... : • CN Ill Palsy ... #PhysicalExam #neurology ... #ophthalmology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Oculomotor) Nerve Palsy ... Trochlear) Nerve palsy ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Sarcoidosis Non-caseating granulomas (Composed of T-helper & inflammatory cells) Clinical: • Disease fatal in 10% of
exertion • Neurologic ... : Bell's palsy, ... dysrhythmias • Ophthalmologic ... #Sarcoidosis #Diagnosis ... #Symptoms #Signs
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... oculomotor nerve palsy ... clinical #video #ophthalmology ... #physicalexam #neurology
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 Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
• CN VI palsy ... ptosis with CN Ill palsy ... • Neurologic ... large/unreactive pupil ... Algorithm #Causes #Ophthalmology
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
CN III palsy 2. ... Neurogenic Ptosis - Neurologic ... • Third nerve palsy ... Syndrome #Ptosis #neurology ... #ophthalmology
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
ulceration • Ocular ... skin injury) • Neurologic ... ) Differential Diagnosis ... inhibitors • Uveitis- Ophthalmology ... #management #signs
Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
- Differential Diagnosis ... meningeal irritation signs ... glaucoma - Ocular ... #ophthalmology ... #Neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Vestibulo-ocular ... Cough reflex Pupils ... • Examine for signs ... #PhysicalExam #neurology
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