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diagnosis causes ophthalmology algorithm airway anisocoria blurry cauda caudaequina clinical dermatology diplopia doublevision edema equina extremity facial leg lower msk
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... : • Adie's Pupil ... Young females Differential ... (trauma/orbital ... #Pupil #PhysicalExam
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... recent illness or trauma ... Adie’s tonic pupil ... ophthalmology #physicalexam ... #neurology
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 Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • Neurologic ... Orbital Floor Fracture ... large/unreactive pupil ... #DoubleVision #Differential
Facial Swelling - Differential Diagnosis Framework for Facial Edema Infectious: • Dental abscess • Ludwig's angina • Vincent's angina • Cellulitis •
Facial Swelling - Differential ... : • Ocular trauma ... Post-radiotherapy states • Acute ... Swelling #Edema #Differential ... #Diagnosis #PhysicalExam
Stridor - Differential Diagnosis Framework: High-pitched, variable respiratory sound ETIOLOGIES: Infectious: • Retropharyngeal abscess • Acute epiglottitis • Peritonsillar
Stridor - Differential ... Retropharyngeal abscess • Acute ... Ludwig's angina Trauma ... Mechanical: • Larynx fracture ... pulmonary #airway #physicalexam
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 ... Trauma Cornea ... • Migraine • Acute ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Leg Pain - Differential ... Leg Pain: • Fracture ... Immobilization) • Acute ... #Leg #pain #differential ... extremity #msk #physicalexam
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Petechial Rash - Differential ... integrity: - Trauma ... blood test • Serology ... • Abdominal ultrasound ... #dermatology #physicalexam
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
spine • MCC- acute ... neoplasms • trauma ... constipation Differential ... distinguishing feature ... diagnosis #causes #neurology
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