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physicalexam clinical causes diagnosis syndrome algorithm anisocoria apex blurry doublevision downbeat eyelid gravis herpes hzo myasthenia nystagmus ophthalmicus orbital tonic
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... : • Adie's Pupil ... Young females Differential ... no light-near dissociation ... #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 ... #clinical #video ... #ophthalmology ... #neurology #syndrome
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 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 ... slightly reduced near vision ... Adie’s tonic pupil ... #ophthalmology
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 Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Vision - Differential ... • Neurologic ... Cataract/Lens Dislocation ... large/unreactive pupil ... Algorithm #Causes #Ophthalmology
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 ... edema • Lens dislocation ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... diagnosis #ophthalmology
Ocular Myasthenia Gravis on Physical Exam A 41yo female was referred by her neurologist for double vision.
neurologist for double vision ... subsequently improved the diplopia ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology
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 Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
a non-reactive pupil ... , and HM vision. ... acetate to help with ocular ... HZO #clinical #video ... #ophthalmology
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 Characteristic eye movements found in Downbeat Nystagmus Downbeat nystagmus (downward fast phase) is the most common of
The differential ... of a structural lesion ... Nystagmus #Vertical #Ophthalmology ... #Neurology #Clinical ... #Video #Ocular
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