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diagnosis ophthalmology algorithm anisocoria arm causes clinical comatose dermatomes dilated diplopia doublevision extremity fixed motor myotomes sensory tonic unilateral upperlimb
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... : • Adie's Pupil ... Young females Differential ... Diagnosis: • CN Ill Palsy ... #Pupil #PhysicalExam
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... - Differential ... Oculomotor (3rd cranial nerve ... ) Palsy: • Brain ... diagnosis #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
: • Triceps Jerk ... C8 • Biceps Jerk ... Conditions Erb's Palsy ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... suggest oculomotor nerve ... palsy. ... #neurology
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 Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • CN VI palsy ... ptosis with CN Ill palsy ... • Neurologic ... large/unreactive pupil
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... threat Cranial Nerves ... Cough reflex Pupils ... caseyalbin #PhysicalExam ... #neurology #comatose
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