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ophthalmology diagnosis differential adies algorithm neurology physicalexam clinical video anisocoria blurry compylobacterjejuni defects diplopia doublevision flaccidpalsy gbs guillainbarresyndrome isocoria landrysyndrome
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm Relative Afferent Pupil Defect • Optic Neuritis • Ischemic
Relative Afferent Pupil ... Neuropathy Constricted Pupils ... Syphilis (light-near dissociation ... Isocoria #Pupillary #Pupils ... Diagnosis #Algorithm #Causes
Adie's Pupil on Physical Exam Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... Physical Exam Adie's pupil ... i.e., light-near dissociation ... It is caused by ... infection which causes
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 Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... no light-near dissociation ... • Other causes ... of tonic pupil
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... In this case, the ... than 3mm in this case ... with light near dissociation ... rare bilateral cases
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 Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
for intracranial masses ... a mass as the cause ... Cataract/Lens Dislocation ... large/unreactive pupil ... Diagnosis #Algorithm #Causes
Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
edema • Lens dislocation ... Concussion Other Causes ... GCA • Adie’s pupil ... ophthalmology #causes
Traumatic Red Eye - Differential Diagnosis Algorithm Surface Injury: • Corneal Abrasion • Ultraviolet Keratitis • Chemical
iridodialysis • Pupil ... Lens: Cataract, dislocation ... Diagnosis #Algorithm #Causes
Guillain–Barré syndrome (GBS) (aka: Landry–Guillain–Barré–Strohl syndrome:  Most common cause of acute flaccid paralysis  Rapidly progressive ascending paralysis & areflexia  Autonomic
 Most common cause ... albumin-cytologic dissociation ... fixed dilated pupils
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