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differential ophthalmology painless asteroid blurry conjunctivitis cord disorders floaters headache htn hyalosis hypertension lamp management monocular nephrology photophobia polychondritis red
Differential Diagnosis for Vision Loss Unilateral, Painful Vision Loss: • Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis,
Unilateral, Painful ... Loss: • Retinal ... , Retinal artery ... #loss #unilateral ... #bilateral #painful
Vision Loss - Differential Diagnosis Chronic: - Cornea: Scarring, Edema - Lens: Cataracts
Vision Loss - Differential ... degeneration - Retina ... tumor) Acute: - Unilateral ... exposure) - Bilateral ... #Diagnosis #causes
Floaters - Differential Diagnosis Framework What? Vitreous Floaters: • Microscopic collagen fibers within the vitreous that tend to clump
Symptoms: Sudden • Unilateral ... colored lights, bilateral ... hypotension - bilateral ... hemorrhage • Posterior ... #Ocular #ophthalmology
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 ... Vitreous 9. ... Retina 11. ... nerve swelling Retina ... → visual loss)
Red Eye - Differential Diagnosis Framework What? Redness in the eye can be caused by many conditions and
Optic neuritis • Retinal ... detachment • Central retinal ... occlusion • Central retinal ... Questions to Ask: • Unilateral ... or bilateral symptoms
Transient Monocular Vision loss - Differential Diagnosis Ischemia - Large artery disease (atherothrombosis, embolus, dissection). -
, vasculitis) Retinal ... coagulopathy Retinal ... vasospasm / retinal ... understood vasospasm of retinal ... Ocular causes -
Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
pathways occur at the retina ... activation of retina-driven ... photophobia - Bilateral ... headache: - Bilateral ... - Unilateral
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Algorithm Hypertension ... on repeat clinic ... Liddle's syndrome • Bilateral ... coarctation • Unilateral ... #Algorithm #Causes
Asteroid Hyalosis- ...Slit-lamp examination of the left eye revealed multiple sparkling, white, globular, refractile, dotlike opacities
opacities moved with ocular ... A diagnosis of asteroid ... that is often unilateral ... the view of the retina ... #NEJM #clinical
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
: Clinical findings ... Tract Lesions: • Bilateral ... Non-compressive Spinal Cord Causes ... #neurology #differential ... #algorithm
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