10 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
females Differential Diagnosis ... : • CN Ill Palsy ... no light-near dissociation ... #PhysicalExam #neurology ... #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... i.e., light-near dissociation ... #PhysicalExam #clinical ... #video #ophthalmology ... #neurology #syndrome
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Algorithm Clinical ... • Neurologic ... Cataract/Lens Dislocation ... large/unreactive pupil ... Algorithm #Causes #Ophthalmology
Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 • Disease fatal in 10% of
inflammatory cells) Clinical ... exertion • Neurologic ... : Bell's palsy, ... dysrhythmias • Ophthalmologic ... #Sarcoidosis #Diagnosis
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
with light near dissociation ... Clinical confirmation ... oculomotor nerve palsy ... #video #ophthalmology ... #physicalexam #neurology
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
Encephalopathy CLINICAL ... is often under diagnosed ... Lateral Rectus Palsy ... , Light near dissociation ... #triad #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the follow up video ... the hospital, diagnosed ... with MS, and started ... #video #ophthalmology ... #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... how the right pupil ... Horners #Syndrome #clinical ... #video #ophthalmology ... #physicalexam #neurology
Hippus on Physical Exam
Hippus: alternating dilation and constriction of pupils independent of illumination, convergence or psychic
constriction of pupils ... encephalopathies, MS ... #PhysicalExam #clinical ... #video #neurology ... #ophthalmology
Hippus on Physical Exam

Hippus: alternating dilation and constriction of pupils independent of illumination, convergence or psychic
constriction of pupils ... encephalopathies, MS ... #PhysicalExam #clinical ... #video #neurology ... #ophthalmology