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diagnosis ophthalmology differential neurology physicalexam symptoms acute algorithm anisocoria blurry clinical closedangle cmv comatose conjunctivitis cytomegalovirus glaucoma hiv manifestations neuromyelitis
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. ... Trauma Cornea/Iris ... Uveitis Lens: • Cataracts ... glaucoma • GCA • Adie ... optic disk • HIV/AIDS
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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 Red Eye - Differential Diagnosis Framework What? Redness in the eye can be caused by many conditions and
Episcleritis Ocular ... Hemorrhage Lids ... Anterior Chamber/Uvea/Iris ... UVEA: comprised Iris ... #ocular #differential
Cytomegalovirus (CMV) in HIV-AIDS Patients Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family. CMV infection: virus isolation or detection
of symptoms or signs ... inclusions or positive ... Neuropathy • Eye ... Retinitis (Most common cause ... #differential #signs
Traumatic Red Eye - Differential Diagnosis Algorithm Surface Injury: • Corneal Abrasion • Ultraviolet Keratitis • Chemical
Traumatic Red Eye ... Associated Injury: • Lids ... : Abrasion • Iris ... mydriasis • Lens: Cataract ... Diagnosis #Algorithm #Causes
Acute Closed Angle Glaucoma: Pathogenesis and Clinical Findings OPHTHALMIC EMERGENCY: Early detection is essential, but most patients
present with a red eye ... • Significant cause ... -> crowding of ocular ... gradient bows iris ... damage & blindness Signs
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... pain/pain upon eye ... involvement: Intractable nausea ... complications (AQP4-positive ... neurology #symptoms #signs
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
• Vestibulo-ocular ... previous gaze position ... previous gaze position ... • Examine for signs ... Casey Albin MD @
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