13 results
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
Overview - Unequal Pupils ... anisocoria) - Tonic ... pupil (Adie's pupil ... #Diagnosis #Ophthalmology ... Abnormalities #Differential
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Evaluation Flow Chart - Differential ... Measure pupil size ... Dilatation - Adie's Tonic ... Evaluation #Algorithm #Differential ... #Diagnosis #Ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Pupillary Defects - Differential ... pilocarpine • Tonic ... (Adie's) Pupil ... #Defects #Differential ... Algorithm #Causes #Ophthalmology
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
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis and Miosis - Differential ... glaucoma, Adie's tonic ... pupil, Migraine ... Mydriasis #Miosis #differential ... #diagnosis #ophthalmology
Bilateral tonic pupils observed in the patient with Ross syndrome. 
Absence of bilateral pupillary contraction despite
Bilateral tonic ... pupils observed ... #tonic #pupils # ... clinical #video #ophthalmology ... bilateral #reflex #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... anterior_seg_rocks #Adies #Tonic ... clinical #video #ophthalmology ... #physicalexam #neurology
Drug Induced Kidney Injury
 • Pre-Renal: NSAIDS, CNI, ACEI/ARB, IL-2 therapy, Diuretics CAR-T therapy
 • Osmotic
Interstitial: PPIs ... Immunotherapy • Toxic ... #KidneyInjury #differential ... diagnosis #algorithm #nephrology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... large/unreactive pupil ... #DoubleVision #Differential ... Algorithm #Causes #Ophthalmology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
amphetamines) Toxic ... Phaeochromocytoma Neurologic ... #Hyperthermia #Differential ... Checklist #Diagnosis #Management