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ophthalmology adies physicalexam clinical differential syndrome algorithm anisocoria blurry diplopia doublevision encephalopathy parinauds tonic triad vision wernickes
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
• Light-near dissociaton ... females Differential Diagnosis ... no light-near dissociation ... • Other causes ... #PhysicalExam #neurology
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 ... infection which causes ... PhysicalExam #clinical #video ... ophthalmology #neurology
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 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
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... In this case, the ... 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 ... a mass as the cause ... Cataract/Lens Dislocation ... large/unreactive pupil
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
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 ... edema • Lens dislocation ... Concussion Other Causes ... GCA • Adie’s pupil ... ophthalmology #causes
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