9 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... no light-near dissociation ... #PhysicalExam # ... neurology #ophthalmology
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
total or partial dislocation ... with Marfan’s syndrome ... Iris #SlitLamp #PhysicalExam ... #Video #Ophthalmology ... #Signs #Ocular
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Marcus Gunn's pupils ... It is a clear sign ... the pupillary reflex ... very sensitive diagnostic ... #MacrusGunn #PhysicalExam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Vestibulo-ocular ... reflex Pupils ... • Examine for signs ... caseyalbin #PhysicalExam
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Strabismus - Ocular ... - Differential Diagnosis ... corneal light reflex ... large/unreactive pupil ... Algorithm #Causes #Ophthalmology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
ulceration • Ocular ... Positive pathergy test ... is a skin prick test ... inhibitors • Uveitis- Ophthalmology ... #signs #symptoms
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
total or partial dislocation ... with Marfan’s syndrome ... Iris #SlitLamp #PhysicalExam ... #Video #Ophthalmology ... #Signs #Ocular
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
- Differential Diagnosis ... edema • Lens dislocation ... GCA • Adie’s pupil ... • Sjögren’s syndrome ... #ophthalmology
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
is also a late sign ... When the diagnosis ... checked for red reflex ... This reflex is not ... Newborn #Infant #PhysicalExam