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physicalexam clinical diagnosis syndrome causes tonic algorithm anisocoria apex argyll bilateral blurry diplopia doublevision herpes hzo ophthalmicus orbital pupils reflex
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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 Argyll Robertson Pupil Definition: - Irregular and small (1-2mm) pupil - Light-near dissociation (accommodation remains intact) -
Argyll Robertson Pupil ... - Light-near dissociation ... Usually bilateral - Abscent ... #neurology #diagnosis ... #ophthalmology
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 ... #ophthalmology ... #physicalexam #neurology
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 Bilateral tonic pupils observed in the patient with Ross syndrome. Absence of bilateral pupillary contraction despite
Bilateral tonic pupils ... clinical #video ... #ophthalmology # ... bilateral #reflex #neurology ... #absent
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 Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double 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
Blurry Vision - Differential ... edema • Lens dislocation ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... #diagnosis #ophthalmology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
a non-reactive pupil ... the patient was sent ... HZO #clinical #video ... #ophthalmology ... #physicalexam #neurology
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