10 results
All About Horner's Syndrome

Horner's syndrome, known as 
"oculosympathetic paresis" by people 
who don't have friends, is
(constricted pupil ... in 1855 by Ed Horner ... accepted into Half ... #Overview #Ophthalmology ... #Diagnosis #Neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN ... #PhysicalExam # ... neurology #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Iniury • One-and-a-half ... Syndrome • Cavernous ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Blurry Vision - Differential ... Diagnosis Framework ... GCA • Adie’s pupil ... • Sjögren’s syndrome ... #diagnosis #ophthalmology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Diagnosis Algorithm ... papilledema • Horner ... syndrome, history ... signs, mid-dilated pupil ... #neurology #PHANTOMS
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... Functional • Corneal ... large/unreactive pupil ... #Causes #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... how the right pupil ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... the hospital, diagnosed ... #Syndrome #PhysicalExam ... clinical #video #ophthalmology ... #neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... nerve palsy • Horner ... #Ptosis #neurology ... #Differential # ... Diagnosis #ophthalmology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... Cough reflex Pupils ... caseyalbin #PhysicalExam ... #neurology #comatose