12 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... Holmes-Adie Syndrome ... : • Adie's Pupil ... (trauma/orbital ... #neurology #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... Physical Exam Adie's ... Deepak Gupta #Adies ... #clinical #video ... ophthalmology #neurology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
• Oculomotor Nerve ... pilocarpine • Tonic (Adie's ... ) Pupil (Ciliary ... Idiopathic • Trauma ... Dissection • Trauma
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... recent illness or trauma ... Adie’s tonic pupil ... suggest oculomotor nerve ... #physicalexam #neurology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... Oculomotor (3rd cranial nerve ... , consider: • Trauma ... Fixed #Dilated #Pupil ... differential #diagnosis #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... • Tumor • Trauma ... Cranial Nerve ... large/unreactive pupil ... Cranial Nerve
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Optic Nerve/Pathway ... Trauma Cornea ... Tumor • Optic nerve ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... The nerves at the ... , abducens nerve ... HZO #clinical #video ... #physicalexam #neurology
Traumatic Facial Nerve Palsy after a Dog Bite

#Facial #Nerve #Palsy #CN7 #CNVII #Trauma #clinical #video #neurology
Traumatic Facial Nerve ... Bite #Facial #Nerve ... Palsy #CN7 #CNVII #Trauma ... #clinical #video ... #neurology
Hippus on Physical Exam

Hippus: alternating dilation and constriction of pupils independent of illumination, convergence or psychic
constriction of pupils ... encephalopathies, MS, MG, trauma ... PhysicalExam #clinical #video ... #neurology #ophthalmology