11 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 ... #Pupil #PhysicalExam ... #neurology #ophthalmology
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 ... #Pupil #PhysicalExam ... ophthalmology #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... Skew Deviation Casey ... ophthalmology #neurology ... #differential # ... diagnosis #ocular
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... with light near dissociation ... ophthalmology #physicalexam ... #neurology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Blurry Vision - Differential ... Ocular Adverse Effects ... edema • Lens dislocation ... glaucoma • GCA • Adie ... or without eye movement
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Vestibulo-ocular ... Casey Albin MD @ ... caseyalbin #PhysicalExam ... #neurology #comatose
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
(no horizontal movement ... The most common causes ... diagnosed with MS ... Half #Syndrome #PhysicalExam ... ophthalmology #neurology
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
during some of the movements ... long standing MS ... Ophthalmoplegia #BINO #ocular ... #physicalexam # ... clinical #video #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... life-threatening Differential ... immunologic assay - MuSK ... Myasthenia Crises ... diagnosis #management #neurology
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
causes downbeat ... 'fast' movements ... Downbeat #Nystagmus #PhysicalExam ... clinical #video #ocular ... ophthalmology #neurology