16 results
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
i.e., light-near dissociation ... It is caused by ... #PhysicalExam # ... clinical #video ... #ophthalmology #
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
females Differential Diagnosis ... no light-near dissociation ... • Other causes ... #PhysicalExam # ... neurology #ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
- Differential Diagnosis ... Framework Causes ... less than 2mm ... #differential #diagnosis ... #ophthalmology
Vision Loss - Differential Diagnosis
Chronic: 
  - Cornea: Scarring, Edema
  - Lens: Cataracts
Vision Loss - Differential ... Diagnosis Chronic ... Scarring, Edema - Lens ... Dislocation, Retinal ... #causes #ophthalmology
Differential Diagnosis for Vision Loss
Unilateral, Painful Vision Loss:
 • Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis,
Differential Diagnosis ... vein occlusion, Lens ... dislocation, Ischemic ... #differential #diagnosis ... #causes #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Algorithm Clinical ... Error • Cataract/Lens ... Dislocation • ... large/unreactive pupil ... #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 ... dislocation • ... GCA • Adie’s pupil ... vision → visual loss ... #ophthalmology
Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
 • Corneal Abrasion
 • Ultraviolet Keratitis
 • Chemical
iridodialysis • Pupil ... mydriasis • Lens ... : Cataract, dislocation ... #Algorithm #Causes ... #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
with light near dissociation ... Clinical confirmation ... #anisocoria #clinical ... #video #ophthalmology ... #physicalexam #
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 ... #video #ophthalmology ... #physicalexam #