6 results
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
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
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Reflexes: • Pupillary ... Cough reflex Pupils ... If ok with ICU team ... #PhysicalExam #neurology ... #comatose #diagnosis