89 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... no light-near dissociation ... • Other causes ... #PhysicalExam # ... neurology #ophthalmology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Pupillary Defects - Differential ... Relative Afferent Pupil ... Syphilis (light-near dissociation ... #Defects #Differential ... Diagnosis #Algorithm #Causes
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
i.e., light-near dissociation ... It is caused by ... infection which causes ... #PhysicalExam # ... ophthalmology #neurology
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
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... - Differential ... no neurological cause ... #differential # ... diagnosis #neurology
Winged Scapula on Physical Exam

Caused by injury to the long thoracic nerve

#Winged #Scapula #PhysicalExam #clinical #video
Physical Exam Caused ... Winged #Scapula #PhysicalExam ... clinical #video #neurology ... #msk
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... a mass as the cause ... Cataract/Lens Dislocation ... large/unreactive pupil
Unilateral Acute Vision Loss - Differential Diagnosis Algorithm
Painful - Cornea
 • Keratopathy
Painful - No Abnormalities of
Vision Loss - Differential ... (fixed dilated pupil ... Demyelination • MS ... Acute #VisionLoss #Differential ... Diagnosis #Algorithm #Causes
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... than 3mm in this case ... with light near dissociation ... ophthalmology #physicalexam ... #neurology
Guillain–Barré syndrome (GBS)
(aka: Landry–Guillain–Barré–Strohl syndrome:
	Most common cause of acute flaccid paralysis
	Rapidly progressive ascending paralysis & areflexia
	Autonomic
 Most common cause ... albumin-cytologic dissociation ... Differential diagnosis ... fixed dilated pupils ... cord lesion on MRI