13 results
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
OculomotorNerve (CN ... - Homer's Syndrome ... #Diagnosis #Ophthalmology ... Abnormalities #Differential ... Anisocoria #Adies #Horners
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... anterior_seg_rocks #Horners ... #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
- Horner's ... Syndrome - Physiologic ... Anisocoria - CN ... Anisocoria #Evaluation #Algorithm ... Diagnosis #Ophthalmology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Diagnosis Algorithm ... papilledema • Horner ... syndrome, history ... brain lesion • CNS ... #neurology #PHANTOMS
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Misalignment - Differential ... Diagnosis Algorithm ... test positive cover ... #Diagnosis #Algorithm ... #Causes #Ophthalmology
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
Differential Diagnosis ... Algorithm Normal ... • Turner Syndrome ... Anorexia Nervosa • CNS ... #Diagnosis #Algorithm
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... CN III palsy 2. ... Horner’s syndrome ... nerve palsy • Horner ... Diagnosis #ophthalmology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
"claw hand" ± Horner ... Syndrome Wrist ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Cover - Uncover Test Revealing CNVI Palsy

Here the Cover-Uncover test unmasks subtle right CN VI palsy.
Test Revealing CNVI ... #CNVI #Palsy #CN6 ... clinical #video #neurology ... #ophthalmology ... #ocular #physicalexam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology