23 results
Pupils: Localization in Coma
 • Small, Reactive pupils: Metabolic coma.
 • Unilateral Fixed, dilated pupil :
Unilateral Fixed ... lesion or Death ... #Coma #Neurology ... #differential # ... diagnosis
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
Vision Loss - Differential Diagnosis
Chronic: 
  - Cornea: Scarring, Edema
  - Lens: Cataracts
Vision Loss - Differential ... Diagnosis Chronic ... : - Cornea: ... #Diagnosis #causes ... #ophthalmology
Differential Diagnosis for Vision Loss
Unilateral, Painful Vision Loss:
 • Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis,
Differential Diagnosis ... • Corneal abrasion ... #painless #differential ... #diagnosis #causes ... #ophthalmology
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson Pupil ... intact) - Usually bilateral ... #neurology #diagnosis ... #ophthalmology ... #physicalexam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
dissociaton; • Usually unilateral ... Young females Differential ... Diagnosis: • CN ... #PhysicalExam # ... neurology #ophthalmology
Acute Monocular Vision Loss - Differential Diagnosis Framework
 • Cornea: Keratitis
 • Anterior Chamber: Hyphema, Acute
Loss - Differential ... Diagnosis Framework ... • Cornea: Keratitis ... visual loss will be bilateral ... #Diagnosis #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 ... Cornea 5. ... GCA • Adie’s pupil ... #differential # ... diagnosis #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
slightly reduced near vision ... It is generally unilateral ... clinical #video #ophthalmology ... #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