8 results
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... Oculomotor (3rd cranial nerve ... ) Palsy: • Brain ... no neurological cause ... #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
females Differential Diagnosis ... : • CN Ill Palsy ... dissociation • Other causes ... #PhysicalExam # ... neurology #ophthalmology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Conditions Erb's Palsy ... Saturday night palsy ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• CN VI palsy ... ptosis with CN Ill palsy ... • Neurologic ... large/unreactive pupil ... #Algorithm #Causes
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... suggest oculomotor nerve ... palsy. ... ophthalmology #physicalexam ... #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... decompress the spinal cord ... how the right pupil ... #neurology #Anisocoria
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
meninges in spinal cord ... and nerve roots ... Spinal Cord Tuberculoma ... neurological symptoms • Caused ... #Tuberculosis #diagnosis
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... threat Cranial Nerves ... Cough reflex Pupils ... caseyalbin #PhysicalExam ... #neurology #comatose