11 results
Bilateral tonic pupils observed in the patient with Ross syndrome. 
Absence of bilateral pupillary contraction despite
syndrome. ... clinical #video ... #ophthalmology # ... ross #syndrome # ... #neurology #absent
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
dissociaton; • Usually unilateral ... Holmes-Adie Syndrome ... females Differential Diagnosis ... #PhysicalExam #neurology ... #ophthalmology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Lateral Medullary ... vomiting/vertigo/nystagmus ... Contralateral loss ... #Wallenbergs #neurology ... #diagnosis
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Marcus Gunn's pupils ... clear sign of unilateral ... very sensitive diagnostic ... Pupillary #Defect #Neurology ... #Clinical #Video
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
smaller in size relative ... in those rare bilateral ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
All About Horner's Syndrome

Horner's syndrome, known as 
"oculosympathetic paresis" by people 
who don't have friends, is
Horner's syndrome ... (constricted pupil ... anhidrosis (loss ... #Overview #Ophthalmology ... #Diagnosis #Neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
clinic with vision loss ... A nystagmus in far ... the hospital, diagnosed ... #ophthalmology ... #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... how the right pupil ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
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 ... GCA • Adie’s pupil ... vision → visual loss ... • Sjögren’s syndrome ... #ophthalmology
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
years with: • Unilateral ... • Or brainstem syndromes ... Incontinence • VISUAL: Nystagmus ... impairment (Loss ... #management #neurology