11 results
Altered Mental Status - Encephalopathy Differential Diagnosis Framework - MINT

M - Metabolic
I - Infection
N - Neurologic
T
Altered Mental Status ... Infection N - Neurologic ... T - Toxic Andrew ... ASanchez_PS #AMS ... #Altered #Mental
Bilateral tonic pupils observed in the patient with Ross syndrome. 
Absence of bilateral pupillary contraction despite
pupils observed ... #tonic #pupils # ... clinical #video #ophthalmology ... bilateral #reflex #neurology ... #absent
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... Young females Differential ... Other causes of tonic ... #PhysicalExam #neurology ... #ophthalmology
Altered Mental Status - Differential Diagnosis
 • Neurologic: Stroke, Cerebral hypoxia, Cerebral hemorrhage, Seizure, Trauma, TBI,
Altered Mental Status ... - Differential ... Diagnosis • Neurologic ... Mental #Status #AMS ... #Differential #
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... suggest a mass as ... large/unreactive pupil ... Algorithm #Causes #Ophthalmology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
may precede the neurologic ... edema visualized as ... Reversible course Differential ... syndrome, ADEM, Acute toxic ... diagnosis #management #neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... the patient was sent ... to IV steroids as ... clinical #video #ophthalmology ... #physicalexam #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
unresponsiveness; the absence ... consciousness Differential ... Cough reflex Pupils ... Decorticate posturing: Arms ... #PhysicalExam #neurology
Hippus on Physical Exam
Hippus: alternating dilation and constriction of pupils independent of illumination, convergence or psychic
constriction of pupils ... encephalopathies, MS ... , MG, trauma, altered ... clinical #video #neurology ... #ophthalmology
Hippus on Physical Exam

Hippus: alternating dilation and constriction of pupils independent of illumination, convergence or psychic
constriction of pupils ... encephalopathies, MS ... , MG, trauma, altered ... clinical #video #neurology ... #ophthalmology