10 results
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Diagnosis Framework Causes ... response, Serotonin syndrome ... Miosis: Horner's syndrome ... differential #diagnosis #ophthalmology ... #causes
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
dissociaton; • Usually unilateral ... Holmes-Adie Syndrome ... dissociation • Other causes ... #PhysicalExam # ... neurology #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... infection which causes ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology #syndrome
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
occasionally it can occur bilaterally ... in those rare bilateral ... cases. ... clinical #video #ophthalmology ... #physicalexam #
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... dysfunction, and bilateral ... Commonly caused ... dysaesthesia, neurogenic ... sensory #motor #leg #physicalexam
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... experience, the cause ... how the right pupil ... clinical #video #ophthalmology ... #physicalexam #
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
Intermittent Bilateral ... The syndrome of ... #Alternating #Bilateral ... clinical #video #ophthalmology ... #physicalexam #
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
GCA • Adie’s pupil ... • Sjögren’s syndrome ... hyperviscosity syndrome ... differential #diagnosis #ophthalmology ... #causes
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... a non-reactive pupil ... other potential causes ... clinical #video #ophthalmology ... #physicalexam #
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... dysfunction to the bilateral ... Cough reflex Pupils ... Casey Albin MD @ ... caseyalbin #PhysicalExam