19 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Defect • Optic ... Syphilis (light-near dissociation ... Midbrain (Parinaud's Syndrome ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
i.e., light-near dissociation ... It is caused by ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology #syndrome
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Marcus Gunn's pupils ... It is a clear sign ... regarding the cause ... #Neurology #Clinical ... #Video #Pupils
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... no light-near dissociation ... • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
with bright or direct ... with light near dissociation ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... symptoms suggest ... Cataract/Lens Dislocation ... large/unreactive pupil ... #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
experience, the cause ... how the right pupil ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
Signs and Symptoms Associated With Different Headache Etiologies
 • Nonfocal mental status changes - Meningitis, encephalitis,
Signs and Symptoms ... poorly reactive pupils ... motor or sensory deficit ... #headache #signs ... #symptoms #clues
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
edema • Lens dislocation ... GCA • Adie’s pupil ... • Visual field defect ... differential #diagnosis #ophthalmology ... #causes
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
skin injury) • Neurologic ... meningitis), MCC CNS symptoms ... inhibitors • Uveitis- Ophthalmology ... diagnosis #management #signs ... #symptoms #rheumatology