6 results
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... control of the iris ... pilocarpine which if positive ... #physicalexam # ... neurology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Blurry Vision - Differential ... Iris 7. ... Uveitis Lens: • Cataracts ... GCA • Adie’s pupil ... #diagnosis #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... symptoms suggest ... Refractive Error • Cataract ... large/unreactive pupil ... Algorithm #Causes #Ophthalmology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
skin injury) • Neurologic ... meningitis), MCC CNS symptoms ... Skin lesions • Positive ... Behcet disease) Differential ... inhibitors • Uveitis- Ophthalmology
Floaters - Differential Diagnosis Framework

What?
Vitreous Floaters:
• Microscopic collagen fibers within the vitreous that tend to clump
Retinal Detachment: Symptoms ... • Myopia • Cataract ... Retinal breaks • Positive ... #Diagnosis #Ocular ... #ophthalmology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Vestibulo-ocular ... Cough reflex Pupils ... caseyalbin #PhysicalExam ... #neurology #comatose