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physicalexam ophthalmology clinical differential adies afferent pupils rapd relative algorithm anisocoria argyll causes comatose defects hearing injury instructions isocoria knee
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
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm Relative Afferent Pupil Defect • Optic Neuritis • Ischemic
Isocoria - Pupillary ... Diagnosis Algorithm ... Syphilis (light-near ... dissociation) ... #Pupils #Defects
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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 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
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
with bright or direct ... dissociation (meaning ... Syphilis should ... anisocoria #clinical #video ... #physicalexam #neurology
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 Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
- Differential Diagnosis ... The evaluation should ... include a: • Neurologic ... audiometry • Patients should ... #Differential #Diagnosis
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
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
• Infectious: Direct ... NMO-IgG (anti-AQP4) should ... negative, MOG-IgG test ... should be ordered ... #management #neurology
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... Neurologic injuries ... nerve injury (25%) TEST ... >> LINK TO ACL TEARS ... msk #clinical #video
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