10 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
females Differential Diagnosis ... : • CN Ill Palsy ... dissociation • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Pupils: • Anisocoria ... Casey Albin MD @ ... #PhysicalExam #neurology ... #comatose #diagnosis
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• CN VI palsy ... • Neurologic ... a mass as the cause ... large/unreactive pupil ... #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... oculomotor nerve palsy ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
the pupillary reflex ... very sensitive diagnostic ... regarding the cause ... Pupillary #Defect #Neurology ... #Clinical #Video
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the follow up video ... (no horizontal movement ... the hospital, diagnosed ... #ophthalmology ... #neurology
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 ... #ophthalmology ... #physicalexam #neurology
Lazarus Reflex on Physical Exam

The Lazarus sign is a reflex movement observed in brain-dead or brainstem
movement observed ... after brain death diagnosis ... reported in some cases ... PhysicalExam #clinical #video ... #neurology #criticalcare
HORNY PAMELA Mnemonic for Horner’s Syndrome

Horner’s syndrome is classically associated with ptosis, miosis, and anhidrosis.
This is caused by ... severe than CN III palsy ... ciliary-spinal reflex ... Horners #Syndrome #Diagnosis ... #Neurology