8 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
unilateral; • Slow pupillary ... females Differential Diagnosis ... dissociation • Other causes ... #PhysicalExam # ... neurology #ophthalmology
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson Pupil ... bilateral - Abscent pupillary ... #neurology #diagnosis ... #ophthalmology ... #physicalexam
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Marcus Gunn's pupils ... very sensitive diagnostic ... regarding the cause ... #Defect #Neurology ... #MacrusGunn #PhysicalExam
Pupillary Hippus

The pupillary hippus is defined as a continuous oscillation of the pupillary diameter in the
Pupillary Hippus ... the clue for the diagnosis ... clinical #video #neurology ... #ophthalmology ... #physicalexam
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... a mass as the cause ... Orbital Floor Fracture ... large/unreactive pupil ... #Ophthalmology
Horner's Syndrome on Physical Exam

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

This 28 year old patient presented to clinic with
A nystagmus in far ... the hospital, diagnosed ... Half #Syndrome #PhysicalExam ... clinical #video #ophthalmology ... #neurology
The Neurological Evaluation of a Comatose Patient

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