9 results
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson Pupil ... small (1-2mm) pupil ... - Light-near dissociation ... #neurology #diagnosis ... ophthalmology #physicalexam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... no light-near dissociation ... #PhysicalExam # ... neurology #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... i.e., light-near dissociation ... #PhysicalExam # ... ophthalmology #neurology ... #syndrome
CN III Palsy - Oculomotor Nerve
 • Ptosis: Loss of innervation of the levator palpebrae superior.
comparison to Horner's syndrome ... oblique • Dilated Pupil ... innervation to pupil ... Nerve #Cranial #neurology ... #diagnosis
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... • Light-near dissociation ... (tectal pupils) ... neudrawlogy #Parinauds #syndrome ... #neurology #diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Anterior Shoulder ... Dislocation - May ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... how the right pupil ... ophthalmology #physicalexam ... #neurology #Anisocoria
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 ... Anterior Chamber ... edema • Lens dislocation ... GCA • Adie’s pupil ... • Sjögren’s syndrome
The Neurological Evaluation of a Comatose Patient

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