11 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... : • Adie's Pupil ... Diagnosis: • CN ... #Pupil #PhysicalExam ... #neurology #ophthalmology
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
(Adie's pupil) ... #Diagnosis #Ophthalmology ... Abnormalities #Differential ... Types #Anisocoria #Adies ... #Horners #ArgyllRobertson
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Pupillary Defects - Differential ... Diagnosis Algorithm ... pilocarpine • Tonic (Adie's ... Ganglion Lesion ... #Causes #Ophthalmology
Unilateral Acute Vision Loss - Differential Diagnosis Algorithm
Painful - Cornea
 • Keratopathy
Painful - No Abnormalities of
Unilateral Acute Vision ... Loss - Differential ... Painful - Cornea ... (fixed dilated pupil ... #Causes #Ophthalmology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Differential Diagnosis ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... #differential # ... diagnosis #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... slightly reduced near vision ... Adie’s tonic pupil ... #physicalexam # ... neurology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
to Headaches - Differential ... Diagnosis Algorithm ... papilledema • Horner ... signs, mid-dilated pupil ... #neurology #PHANTOMS
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diplopia - Double Vision ... • Neurologic ... Functional • Corneal ... large/unreactive pupil ... #Causes #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... how the right pupil ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
and Headache - Differential ... Diagnosis Framework ... hypothalamus, and visual cortex ... #diagnosis #ophthalmology ... #Neurology