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

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... Physical Exam Adie's pupil ... i.e., light-near dissociation ... #PhysicalExam #clinical ... ophthalmology #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
Guillain–Barré syndrome (GBS)
(aka: Landry–Guillain–Barré–Strohl syndrome:
	Most common cause of acute flaccid paralysis
	Rapidly progressive ascending paralysis & areflexia
	Autonomic
albumin-cytologic dissociation ... Differential diagnosis ... fixed dilated pupils ... cord lesion on MRI ... sensory level, MRI
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... with light near dissociation ... Clinical confirmation ... #anisocoria #clinical ... #physicalexam #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... Algorithm Clinical ... • Neurologic ... Cataract/Lens Dislocation ... large/unreactive pupil
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
Intraoperative Massive ... an appropriate clinical ... By Association of ... BloodLoss #Hemorrhage #Anesthesiology ... #Checklist #Diagnosis
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre team of
Intraoperative Bronchospasm ... Other drugs at clinician ... X-ray as soon as clinically ... anaesthesia #Anesthesiology ... #Checklist #Diagnosis
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 ... , Light near dissociation ... , Nonreactive pupils ... #triad #neurology