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diagnosis differential neurology physicalexam pupillary blurry chronic clinical comatose defects diplopia doublevision evaluation eyeball floaters misalignment pupil redeye strabismus tonic
Anisocoria Evaluation Flow Chart - Differential Diagnosis 1. Check pupillary reaction to light 2. Measure pupil size.
Anisocoria Evaluation ... Dilatation - Adie's ... Traumatic Iris Damage ... #Evaluation #Algorithm ... Differential #Diagnosis #Ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm Physiological - Simple Anisocoria ( <O.5mm) - Anisocoria equal
Differential Diagnosis Algorithm ... pilocarpine • Tonic (Adie's ... Ganglion Lesion ... Differential #Diagnosis #Algorithm ... #Causes #Ophthalmology
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 ... slightly reduced near vision ... Adie’s tonic pupil ... control of the iris
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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. ... Uveitis Lens: • Cataracts ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... differential #diagnosis #ophthalmology
Chronic Vision Loss by Anatomic Location - Differential Diagnosis Algorithm Cornea: • Keratoconus • Stromal Scaring •
Differential Diagnosis Algorithm ... Visibility: • Cataract ... • Age Related Macular ... Differential #Diagnosis #Algorithm ... #Causes #Ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Diplopia - Double Vision ... Differential Diagnosis Algorithm ... Refractive Error • Cataract ... large/unreactive pupil ... #Causes #Ophthalmology
Traumatic Red Eye - Differential Diagnosis Algorithm Surface Injury: • Corneal Abrasion • Ultraviolet Keratitis • Chemical
Differential Diagnosis Algorithm ... : Abrasion • Iris ... iridodialysis • Pupil ... mydriasis • Lens: Cataract ... #Causes #Ophthalmology
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 ... #Causes #Ophthalmology
Floaters - Differential Diagnosis Framework What? Vitreous Floaters: • Microscopic collagen fibers within the vitreous that tend to clump
specks in the vision ... • Myopia • Cataract ... Retinal breaks • Positive ... Differential #Diagnosis #Ocular ... #ophthalmology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
• Vestibulo-ocular ... Cough reflex Pupils ... : • Anisocoria ... previous gaze position ... Casey Albin MD @
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