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diagnosis ophthalmology differential causes anisocoria blurry clinical diplopia doublevision endocrinology evaluation eyeball hyperthyroid misalignment neurology physicalexam pupillary pupils redeye strabismus
Anisocoria Evaluation Flow Chart - Differential Diagnosis 1. Check pupillary reaction to light 2. Measure pupil size.
Measure pupil size ... Dilatation - Adie's ... Tonic Pupil - ... Traumatic Iris Damage ... Anisocoria #Evaluation #Algorithm
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... Adie’s tonic pupil ... control of the iris ... pilocarpine which if positive
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 Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
Iris 7. ... Ocular Adverse Effects ... Uveitis Lens: • Cataracts ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... ) - Diagnostic Algorithm ... if concern for nodular ... specific, so if positive ... #Hyperthyroidism
Traumatic Red Eye - Differential Diagnosis Algorithm Surface Injury: • Corneal Abrasion • Ultraviolet Keratitis • Chemical
Differential Diagnosis Algorithm ... : Abrasion • Iris ... iridodialysis • Pupil ... mydriasis • Lens: Cataract ... Differential #Diagnosis #Algorithm
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Differential Diagnosis Algorithm ... Refractive Error • Cataract ... large/unreactive pupil ... Ophthalmopathy • Hyperthyroidism ... Differential #Diagnosis #Algorithm
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm Phoria: • Latent deviation • Symmetrical corneal light reflex,
Strabismus - Ocular ... Differential Diagnosis Algorithm ... Negative cover test positive ... large/unreactive pupil ... #Strabismus #Ocular
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