15 results
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson Pupil ... small (1-2mm) pupil ... - Light-near dissociation ... #neurology #diagnosis ... ophthalmology #physicalexam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... females Differential Diagnosis ... 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 pupil ... i.e., light-near dissociation ... #PhysicalExam # ... ophthalmology #neurology
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
• Light-near dissociation ... (tectal pupils) ... Parinauds #syndrome #neurology ... #diagnosis
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
month following neck ... consistent with a diagnosis ... how the right pupil ... ophthalmology #physicalexam ... #neurology #Anisocoria
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
Plantar Reflex (Babinski) Equivalents
Plantar toe reflex - Babinski - Move an object along the lateral aspect
and release #Diagnosis ... #Neurology #PhysicalExam ... Alternatives #Tests #pyramidal
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Marcus Gunn's pupils ... very sensitive diagnostic ... Pupillary #Defect #Neurology ... Clinical #Video #Pupils ... #MacrusGunn #PhysicalExam
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... • Neurologic ... Migraine is a diagnosis ... Cataract/Lens Dislocation ... large/unreactive pupil
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... Assessing for neck ... Myasthenia #Gravis #PhysicalExam ... #Maneuvers #Diagnosis ... #neurology