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diagnosis symptoms physicalexam pupil causes clinical management rheumatology syndrome video aids algorithm anisocoria arteritis behcet blurry cmv cytomegalovirus diplopia disease
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... Young females Differential ... 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 ... Physical Exam Adie's ... i.e., light-near dissociation ... clinical #video #ophthalmology ... #neurology #syndrome
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 Sarcoidosis Non-caseating granulomas (Composed of T-helper & inflammatory cells) Clinical: • Disease fatal in 10% of
polyarthritis • Pulmonary ... exertion • Neurologic ... dysrhythmias • Ophthalmologic ... Diagnosis #Symptoms #Signs ... #Pulmonary
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... with light near dissociation ... clinical #video #ophthalmology ... #physicalexam #neurology
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 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 ... edema • Lens dislocation ... glaucoma • GCA • Adie ... Blurry #Vision #differential ... #diagnosis #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • Neurologic ... Cataract/Lens Dislocation ... #DoubleVision #Differential ... Algorithm #Causes #Ophthalmology
Cytomegalovirus (CMV) in HIV-AIDS Patients Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family. CMV infection: virus isolation or detection
of symptoms or signs ... 50 or less: • Neurologic ... Pancreatitis • Pulmonary ... AIDS #diagnosis #differential ... #signs #symptoms
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Weakness - Differential ... disorder (Cardiac, pulmonary ... Lack of UMN/LMN signs ... #Weakness #Differential ... #Diagnosis #neurology
Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
and Headache - Differential ... meningeal irritation signs ... Photophobia #Headache #differential ... #diagnosis #ophthalmology ... #Neurology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... Vasculitis Differential ... purpura: Strong sign ... affects the skin, neurologic ... cognitive impairment, neurologic
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