46 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN Ill Palsy ... dissociation • Other causes ... #PhysicalExam #neurology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... - Differential ... cranial nerve) Palsy ... no neurological cause ... diagnosis #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... #differential # ... diagnosis #ocular
Causes of Bradykinetic Movement Disorders - Differential Diagnosis Algorithm
Parkinson's Disease (TRAP):
• Resting Tremor
• Cogwheel Rigidity
• Akinesia/Bradykinesia
•
Causes of Bradykinetic ... Vertical Gaze Palsy ... • Cerebellar signs ... MovementDisorders #Neurology ... #Differential #
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
left 6th nerve palsy ... Caused by a ... retraction #nystagmus #ocular ... #physicalexam #clinical ... #video #neurology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... infection which causes ... #PhysicalExam #clinical ... ophthalmology #neurology ... #syndrome
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
for Ulnar Nerve Palsy ... grip weakness caused ... by ulnar nerve palsy ... #clinical #video ... #neurology #physicalexam
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Diagnosis Algorithm Clinical ... • CN VI palsy ... • Neurologic ... large/unreactive pupil
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
osmolarity If cause ... investigations depending on clinical ... context and signs ... #Diagnosis #nephrology ... #causes
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... Clinical confirmation ... oculomotor nerve palsy ... #anisocoria #clinical ... #physicalexam #neurology