10 results
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
Pupillary Abnormalities ... OculomotorNerve (CN ... #Diagnosis #Ophthalmology ... #Pupillary #Abnormalities ... GrepMed Recommended Text
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Check pupillary ... Anisocoria - CN ... Anisocoria #Evaluation #Algorithm ... Differential #Diagnosis #Ophthalmology ... #Pupillary #Pupils
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
swinging light test ... swinging light test ... swinging light test ... #Diagnosis #PhysicalExam ... #Ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Anisocoria - Pupillary ... Differential Diagnosis Algorithm ... Fascicle (Other CN ... #Anisocoria #Pupillary ... #Causes #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
unilateral; • Slow pupillary ... Diagnosis: • CN ... Anisocoria - same pupillary ... #PhysicalExam # ... neurology #ophthalmology
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
exotropia): • CN ... hypotopia, mixed): • CN ... large/unreactive pupil ... ) • CN IV Problem ... #Causes #Ophthalmology
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Pupils a. ... Ocular Movements (CN ... EyeExamination #Approach #Ophthalmology ... #PhysicalExam
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Differential Diagnosis Algorithm ... • CN VI palsy ... for ptosis with CN ... large/unreactive pupil ... #Causes #Ophthalmology
Cover - Uncover Test Revealing CNVI Palsy

Here the Cover-Uncover test unmasks subtle right CN VI palsy.
unmasks subtle right CN ... a subtle right CN ... #CNVI #Palsy #CN6 ... video #neurology #ophthalmology ... #ocular #physicalexam
Guillain–Barré syndrome (GBS)
(aka: Landry–Guillain–Barré–Strohl syndrome:
	Most common cause of acute flaccid paralysis
	Rapidly progressive ascending paralysis & areflexia
	Autonomic
Multiple Sclerosis: CNS ... fixed dilated pupils ...  West Nile virus ...  Transverse myelitis