17 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Isocoria - Pupillary ... Diagnosis Algorithm ... Nerve Tumor • Retinal ... Pupils (Miotic) • Syphilis ... (light-near dissociation
Natural History of Syphilis
Primary - 2-6 weeks after infection
 • Chancre, Regional lymphadenopathy
Early Latent ≤ 1
infection • Chancre, Regional ... Early Latent ≤ 1 year ... Late Latent - > 1 year ... (10%); Ocular syphilis ... #progression #diagnosis
Floaters - Differential Diagnosis Framework

What?
Vitreous Floaters:
• Microscopic collagen fibers within the vitreous that tend to clump
tear/hole • Retinal ... • Vitritis • Tear ... ) • 50% of 65-year-olds ... , a retinal tear ... #Diagnosis #Ocular
Stages of Syphilis
Early Primary:
 • Painless chancre
 • Regional lymphadenopathy
Early Secondary:
 • Fever, malaise
 • Rash
Stages of Syphilis ... • Within first year ... • Gummatous • Nodular ... testing • >1 year ... symptoms #signs #diagnosis
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 • Direct lesion contact during sex is responsible
Headache, meningitis, ocular ... ulcerated • MSK ... Early latent year ... Late latent >1 year ... #stages #diagnosis
Uveitis - Definition, Causes and SUN Classification

Inflammation of the iris, ciliary body, vitreous, retina and/or choroid
Incidence
body, vitreous, retina ... : 17-52 cases/year ... tuberculosis, syphilis ... Classification #Differential ... #Diagnosis #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Young females Differential ... Diagnosis: • CN ... - no light-near ... #Adies #Pupil #PhysicalExam
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... slightly reduced near ... lights with light near ... Syphilis should ... ophthalmology #physicalexam
POCUS for Posterior Ocular Ultrasound - Visual Abstract
What are the test characteristics of POCUS in diagnosing
POCUS for Posterior ... Ocular Ultrasound ... in diagnosing retinal ... tear, posterior ... #diagnosis #ebm
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
Hearing Loss - Differential ... Diagnosis Framework ... Noise trauma ○ MS ... Meningitis ○ Syphilis ... #Diagnosis #otology