14 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
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
with a left 6th nerve ... palsy Caused ... nystagmus #ocular #physicalexam ... clinical #video #neurology ... #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Palsy • CN IV ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
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 ... #Ophthalmology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
to the radial nerve ... axillary nerve ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Left oculomotor paralysis probably of ischemic cause.

via @neurologiabr

#oculomotor #nerve #paralysis #palsy #CNIII #CN3 #clinical #video #neurology
probably of ischemic cause ... #oculomotor #nerve ... #paralysis #palsy ... #ophthalmology ... #PhysicalExam
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
suggest oculomotor nerve ... palsy. ... clinical #video #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 ... decompress the spinal cord ... how the right pupil ... #physicalexam # ... neurology #Anisocoria
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... other potential causes ... clinical #video #ophthalmology ... #physicalexam # ... neurology