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diagnosis ophthalmology differential clinical physicalexam neurology serotonin table video causes infectiousdiseases ocular pupil signs slitlamp syndrome adies infections list management
Argyll Robertson Pupil Definition: - Irregular and small (1-2mm) pupil - Light-near dissociation (accommodation remains intact) -
Argyll Robertson ... response to: Dark, Mydriatics ... @neudrawlogy #Argyll
Mydriasis and Miosis - Differential Diagnosis Framework Causes of Mydriasis: Dilated pupils (mydriasis) more than 7mm • Unilateral
Mydriasis and Miosis ... Dilated pupils (mydriasis ... • Unilateral Mydriasis ... • Bilateral Mydriasis ... CVA, Syphilis (Argyll
Mydriasis Causes - AAAS Mnemonic • Atropine • Anticholinergic Toxicity • Antidepressants (and Serotonin Syndrome) •
Mydriasis Causes ... Sympathomimetics #Mydriasis
Argyll-Robertson Pupil on Physical Exam Small (myotic), irregular pupil that do not react to light but do
Argyll-Robertson ... Medicalknowled1 #Argyll
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 Pupillary Abnormalities Overview - Unequal Pupils (anisocoria) - Tonic pupil (Adie's pupil) - OculomotorNerve (CN
light indicate Argyll
Serotonin Syndrome - Rapid onset - Combination of 2+ serotonin agonists Mental status changes:
Diaphoresis - Mydriasis
Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
Benign episodic mydriasis ... hemorrhage (SAH): - Mydriasis ... nerve pain - Mydriasis
Clinical Manifestations of Serotonin Syndrome • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements) • Gastrointestinal: Diarrhea,
Ophthalmologic: Mydriasis
Extraocular Muscle Actions & Clinical Testing What about clinical testing of extraocular muscle function & associated nerve
CN Ill: ptosis, mydriasis
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Normal response to mydriatics
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