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ophthalmology adies algorithm anisocoria causes clinical differential doublevision encephalopathy parinauds physicalexam syndrome tonic triad wernickes
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
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Diplopia - Double ... - Differential Diagnosis ... • Neurologic ... Cataract/Lens Dislocation ... large/unreactive pupil
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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 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 ... , Nonreactive pupils ... #triad #neurology
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