14 results
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
Pupillary Abnormalities ... OculomotorNerve (CN ... #Diagnosis #Ophthalmology ... #Pupillary #Abnormalities
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
- Differential Diagnosis ... Check pupillary ... Anisocoria - CN ... #Ophthalmology ... #Pupillary #Pupils
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
unilateral; • Slow pupillary ... females Differential Diagnosis ... : • CN Ill Palsy ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
bilateral - Abscent pupillary ... Pupil #neurology #diagnosis ... #ophthalmology ... #physicalexam
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... for the neuro-ophthalmologic ... pseudotumor • Orbital myositis ... #Differential #Diagnosis ... #Causes #Ophthalmology
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Serotonin Syndrome • Ophthalmologic ... Diaphresis, flushing • CNS ... and vital sign abnormalities ... spectrum #signs #diagnosis
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Anisocoria - Pupillary ... - Differential Diagnosis ... Fascicle (Other CN ... #Anisocoria #Pupillary ... Algorithm #Causes #Ophthalmology
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
relative afferent pupillary ... relative afferent pupillary ... relative afferent pupillary ... #Diagnosis #PhysicalExam ... #Ophthalmology
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
- Differential Diagnosis ... cells per μL • Diagnosis ... focal neurologic abnormalities ... #differential #diagnosis ... opportunistic #InfectiousDiseases
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... • CN VI palsy ... for ptosis with CN ... Scarring • Vitreous Abnormalities ... Algorithm #Causes #Ophthalmology