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diagnosis physicalexam management pupil clinical rheumatology symptoms video vision algorithm anisocoria arteritis behcet blurry comatose diplopia disease disorders doublevision extraocular
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... • Other causes ... #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 ... clinical #video #ophthalmology ... #neurology #syndrome
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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 ... #diagnosis #ophthalmology ... #causes
Vision Loss - Differential Diagnosis Chronic: - Cornea: Scarring, Edema - Lens: Cataracts
Vision Loss - Differential ... Chronic: - Cornea ... Painless: Lens Dislocation ... #Diagnosis #causes ... #ophthalmology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #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 ... clinical #video #ophthalmology ... #physicalexam #neurology
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 Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • Neurologic ... Cataract/Lens Dislocation ... Functional • Corneal ... #Ophthalmology
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... nerve palsy • Horner ... #Ptosis #neurology ... #Differential # ... Diagnosis #ophthalmology
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
ulceration • Ocular ... skin injury) • Neurologic ... Behcet disease) Differential ... inhibitors • Uveitis- Ophthalmology ... diagnosis #management #signs
Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
hypothalamus, and visual cortex ... meningeal irritation signs ... glaucoma - Ocular ... #diagnosis #ophthalmology ... #Neurology
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