9 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... dissociation • Other causes ... • Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... in those rare bilateral ... cases. ... #video #ophthalmology ... #physicalexam #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... a mass as the cause ... large/unreactive pupil ... #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
experience, the cause ... how the right pupil ... #ophthalmology ... #physicalexam #neurology ... #Anisocoria
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia Gravis ... EOM weakness and bilateral ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... unilateral or bilateral ... k_vaishnani and Ravi ... CNS #Infections #differential ... #diagnosis #neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... prednisone (20 mg ... HZO #clinical #video ... #ophthalmology ... #physicalexam #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Cough reflex Pupils ... : • Anisocoria ... Casey Albin MD @ ... #PhysicalExam #neurology
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
move down due to gravity ... corrective movement causes ... PhysicalExam #clinical #video ... #ocular #ophthalmology ... #neurology