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physicalexam ophthalmology adies afferent clinical defect rapd relative anisocoria argyll comatose instructions light macrusgunn pupils robertson swinging tonic
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect. http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685 Normal
swinging light test ... object (to avoid a near ... Both pupils should ... Both pupils should ... #Diagnosis #PhysicalExam
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 ... bilateral - Abscent pupillary ... #neurology #diagnosis
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
unilateral; • Slow pupillary ... females Differential Diagnosis ... dissociation • ... Anisocoria - same pupillary ... #PhysicalExam #neurology
Relative Afferent Pupillary Defect This maneuver of intermittent light stimulus is called the alternating light test or
Marcus Gunn's pupils ... very sensitive diagnostic ... #Defect #Neurology ... #Clinical #Video ... #Pupils #MacrusGunn
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 Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
slightly reduced near ... dissociation (meaning ... Syphilis should ... anisocoria #clinical #video ... #physicalexam #neurology
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 The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Reflexes: • Pupillary ... Cough reflex Pupils ... If ok with ICU team ... #PhysicalExam #neurology
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