11 results
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 ... #PhysicalExam # ... neurology #ophthalmology
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 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 ... #PhysicalExam # ... ophthalmology #neurology ... #syndrome
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... • Light-near dissociation ... (tectal pupils) ... neudrawlogy #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 ... lesions within the neck ... 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
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... nerve at fibular neck ... Myotomes #diagnosis #neurology ... sensory #motor #leg #physicalexam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Anterior Shoulder Dislocation ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... a non-reactive pupil ... Orbital Apex Syndrome ... ophthalmology #physicalexam ... #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... Cough reflex Pupils ... caseyalbin #PhysicalExam ... #neurology #comatose