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diagnosis neurology adies anisocoria physicalexam clinical clues defects diplopia disorders doublevision extraocular headache localization ocular pupillary pupils signs symptoms tonic
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Palsy • CN IV ... palsy • CN VI ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Young females Differential ... Ill Palsy - ... abnormal extraocular movements ... dissociation • Other causes ... #neurology #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Diagnosis Algorithm ... • CN VI palsy ... Ill palsy ... large/unreactive pupil ... #Causes #Ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm Physiological - Simple Anisocoria ( <O.5mm) - Anisocoria equal
Pupillary Defects - Differential ... Diagnosis Algorithm ... • Oculomotor Nerve ... Fascicle (Other CN ... #Causes #Ophthalmology
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
suggest oculomotor nerve ... palsy. ... anterior_seg_rocks #Adies ... anisocoria #clinical #video ... #ophthalmology
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 Signs and Symptoms Associated With Different Headache Etiologies • Nonfocal mental status changes - Meningitis, encephalitis,
with third nerve ... palsy - Tentorial ... • Extraocular movement ... deficits (CN Ill ... #differential #
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