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ophthalmology physicalexam clinical adies causes differential parinauds syndrome algorithm anisocoria argyll blurry congenital diplopia doublevision encephalopathy lens pineal pocus robertson
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
Parinaud's syndrome What? • Light-near dissociation (tectal pupils) • Convergence retraction nystagmus • Eyelid retraction (Collier's sign)
• Light-near dissociation ... (tectal pupils) ... Convergence retraction nystagmus ... Parinauds #syndrome #neurology ... #diagnosis
Parinaud's Syndrome What? - Impaired upgaze - Light-near dissociation - Convergence retraction nystagmus - Eyelid retraction (Collier's
- Light-near dissociation ... Convergence retraction nystagmus ... Parinauds #Syndrome #diagnosis ... #pineal #neurology
Congenital Nystagmus on Physical Exam These abnormal eye movements were found in a patient with albinism. What
Diagnosis: Congenital ... Cooper Neurology ... #PhysicalExam #ocular ... #clinical #video ... #neurology #ophthalmology
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 Wernicke's Encephalopathy CLINICAL TRIAD: only seen in 1/4 pts W.E. is often under diagnosed 1. ENCEPHALOPATHY
is often under diagnosed ... DYSFUNCTION (29%) Nystagmus ... , Light near dissociation ... Encephalopathy #diagnosis ... #triad #neurology
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... with light near dissociation ... anisocoria #clinical #video ... #physicalexam #neurology
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 Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
- Differential Diagnosis ... • Neurologic ... Migraine is a diagnosis ... Cataract/Lens Dislocation ... large/unreactive pupil
Lens Dislocation on Ocular POCUS One of my favorite POCUS diagnoses! Recent study showed POCUS was 99%
Lens Dislocation ... on Ocular POCUS ... favorite POCUS diagnoses ... PratsEM Amazing video ... #Lens #Dislocation
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 Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
- Differential Diagnosis ... Ocular Adverse Effects ... edema • Lens dislocation ... GCA • Adie’s pupil ... #differential #diagnosis
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