106 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... dissociation • Other causes ... (trauma/orbital ... #PhysicalExam #
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- 10% cocaine: pupils ... Tonic (Adie's) Pupil ... Idiopathic • Trauma ... Dissection • Trauma ... Diagnosis #Algorithm #Causes
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... Physical Exam Adie's pupil ... It is caused by ... infection which causes ... #PhysicalExam #
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... no neurological cause ... , consider: • Trauma ... Fixed #Dilated #Pupil
Persistent Pupillary Membrane (PPM) on Slit Lamp Ocular Examination

This membrane would be a remainder of the
large enough to cause ... Pupillary #Membrane #Pupil ... #Ocular #PhysicalExam ... ophthalmology #SlitLamp
Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
 • Corneal Abrasion
 • Ultraviolet Keratitis
 • Chemical
Algorithm Surface Injury ... alkali) Blunt Trauma ... Hyphema, history of trauma ... iridodialysis • Pupil ... Diagnosis #Algorithm #Causes
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
recent illness or trauma ... In this case, the ... than 3mm in this case ... rare bilateral cases ... ophthalmology #physicalexam
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
a mass as the cause ... • Tumor • Trauma ... large/unreactive pupil ... • Aneurysm • Trauma ... • Aneurysm • Trauma
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Marcus Gunn's pupils ... regarding the cause ... afferent pathway injury ... Clinical #Video #Pupils ... #MacrusGunn #PhysicalExam
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
pseudogout • Trauma ... Repetitive strain injury ... Red Flags: • Trauma ... • Crush injury ... extremity #msk #physicalexam