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diagnosis ophthalmology algorithm neurology anisocoria blurry clinical diplopia doublevision eyeball infections infectiousdiseases inflammatory management misalignment opportunistic physicalexam reconstitution redeye rheumatology
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. ... Uveitis Lens: • Cataracts ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... optic disk • HIV
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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 Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... a mass as the cause ... Refractive Error • Cataract ... large/unreactive pupil ... Cranial Nerve IV
Traumatic Red Eye - Differential Diagnosis Algorithm Surface Injury: • Corneal Abrasion • Ultraviolet Keratitis • Chemical
Traumatic Red Eye ... : Abrasion • Iris ... iridodialysis • Pupil ... mydriasis • Lens: Cataract ... Diagnosis #Algorithm #Causes
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm Phoria: • Latent deviation • Symmetrical corneal light reflex,
Strabismus - Ocular ... Misalignment - Differential ... large/unreactive pupil ... ) • CN IV Problem ... Diagnosis #Algorithm #Causes
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
HIV / AIDS - Differential ... • IRIS might ... required until immune ... Demyelinating disease caused ... and <25% culture positive
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
/AIDS patients ... be present: • AIDS ... pleural effusions, CNS ... skin lesions, ocular ... Zoster flare, ocular
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... Vasculitis Differential ... Arthralgias • Eye ... tract, and often causes ... chorioretinitis, CNS
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