16 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Relative Afferent Pupil ... Tumor • Retinal detachment ... Syphilis (light-near dissociation ... Midbrain (Parinaud's Syndrome ... Diagnosis #Algorithm #Causes
Vision Loss - Differential Diagnosis
Chronic: 
  - Cornea: Scarring, Edema
  - Lens: Cataracts
Scarring, Edema - Lens ... Cataracts - Macula: Macular ... Dislocation, Retinal ... Detachment, Central ... Differential #Diagnosis #causes
Differential Diagnosis for Vision Loss
Unilateral, Painful Vision Loss:
 • Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis,
Loss: • Retinal detachment ... , Vitreous detachment ... vein occlusion, Lens ... dislocation, Ischemic ... differential #diagnosis #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 ... ophthalmology #neurology ... #syndrome
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... Holmes-Adie Syndrome ... no light-near dissociation ... • Other causes ... #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
Ocular Adverse Effects ... dislocation • ... Retina: • Detachment ... GCA • Adie’s pupil ... ophthalmology #causes
Red Eye - Differential Diagnosis Framework

What?
Redness in the eye can be caused by many conditions and
Episcleritis Ocular ... neuritis • Retinal detachment ... • Is the eye painful ... Conjunctivitis #ocular ... ophthalmology #painful
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... a mass as the cause ... Error • Cataract/Lens ... Dislocation • ... large/unreactive pupil
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... In this case, the ... than 3mm in this case ... with light near dissociation ... #physicalexam #neurology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... Epidemiology: • 1-2 cases ... Reflexes: Arms or legs ... Albuminocytologic dissociation ... management #treatment #neurology