10 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... females Differential Diagnosis ... : • CN Ill Palsy ... #PhysicalExam # ... neurology #ophthalmology
Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 • Disease fatal in 10% of
inflammatory cells) Clinical ... exertion • Neurologic ... : Bell's palsy, ... #Sarcoidosis #Diagnosis ... #Symptoms #Signs
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Clinical confirmation ... oculomotor nerve palsy ... #video #ophthalmology ... #physicalexam # ... neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Algorithm Clinical ... • CN VI palsy ... • Neurologic ... large/unreactive pupil ... Algorithm #Causes #Ophthalmology
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
It is a clear sign ... very sensitive diagnostic ... Pupillary #Defect #Neurology ... #Clinical #Video ... #PhysicalExam
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Bell's Palsy - Diagnosis ... - Atypical Clinical ... ophthalmoplegia), systemic signs ... inflammatory cause) • EMG ... #Treatment #Neurology
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 ... Lateral Rectus Palsy ... , etc 3. ... #triad #neurology
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 ... #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
patient presented to clinic ... the hospital, diagnosed ... Half #Syndrome #PhysicalExam ... #ophthalmology ... #neurology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... Diagnosis = clinical ... systemic sx + signs ... vision changes, etc ... required +/- prompt ophthalmology