13 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
test to detect ... object (to avoid a near ... Both pupils should ... Both pupils should ... #Diagnosis #PhysicalExam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
(4-6mm); • Light-near ... females Differential Diagnosis ... movements - no light-near ... dissociation • ... #PhysicalExam #neurology
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
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Isocoria - Pupillary ... - Differential Diagnosis ... • Syphilis (light-near ... dissociation) ... #Isocoria #Pupillary
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 Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
reacts slowly to light ... accommodation (i.e., light-near ... dissociation). ... PhysicalExam #clinical #video ... ophthalmology #neurology
Marcus-Gunn Pupil - Pupillary dilation in response to light on the left eye and a preserved
Marcus-Gunn Pupil ... in response to light ... consensual response 22-year-old ... #clinical #video ... #ocular #neurology
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
Light-near dissociation ... (tectal pupils) ... Parinauds #syndrome #neurology ... #diagnosis
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
with light near ... dissociation (meaning ... Syphilis should ... anisocoria #clinical #video ... #physicalexam #neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Motor Function Shoulder ... "Saturday night ... Dislocation - May ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory