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ophthalmology diagnosis differential neurology physicalexam acute anisocoria blurry chronic clinical closedangle comatose conjunctivitis diplopia doublevision eyeball floaters glaucoma misalignment painful
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 ... ophthalmology #causes
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 ... control of the iris ... pilocarpine which if positive
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 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 ... a mass as the cause ... Refractive Error • Cataract ... #Causes #Ophthalmology
Red Eye - Differential Diagnosis Framework What? Redness in the eye can be caused by many conditions and
Episcleritis Ocular ... UVEA: comprised Iris ... any subjective vision ... Complete vision ... #ocular #differential
Traumatic Red Eye - Differential Diagnosis Algorithm Surface Injury: • Corneal Abrasion • Ultraviolet Keratitis • Chemical
Traumatic Red Eye ... Differential Diagnosis Algorithm ... : Abrasion • Iris ... 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 ... #Strabismus #Ocular ... #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 ... temporary dimming of vision ... Differential #Diagnosis #Ocular
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 ... sparring) • Loss of vision
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Test downward eye ... • Vestibulo-ocular ... previous gaze position ... previous gaze position ... Casey Albin MD @
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