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differential physicalexam adies algorithm anisocoria clinical video apex cn3 cniii cranial dilated diplopia disorders doublevision extraocular fixed herpes hzo localization
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework If Altered Mental Status - Consider Oculomotor (3rd cranial
Status - Consider Oculomotor ... cranial nerve) Palsy ... no neurological cause ... • Medication effects ... #neurology
CN III Palsy - Oculomotor Nerve • Ptosis: Loss of innervation of the levator palpebrae superior.
CN III Palsy - Oculomotor ... Ptosis is severe in comparison ... innervation to pupil ... #Cranial #neurology ... #diagnosis
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm Physiological - Simple Anisocoria ( <O.5mm) - Anisocoria equal
Anisocoria - Pupillary Defects ... - Differential Diagnosis ... pilocarpine • Oculomotor ... #Diagnosis #Algorithm ... #Causes #Ophthalmology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Disorders • CN Ill (Oculomotor ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
females Differential Diagnosis ... : • CN Ill Palsy ... dissociation • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
unilateral and affects ... would suggest oculomotor ... nerve palsy. ... clinical #video #ophthalmology ... #physicalexam #neurology
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 Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
• CN VI palsy ... ptosis with CN Ill palsy ... • Neurologic ... large/unreactive pupil ... #Ophthalmology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
a non-reactive pupil ... the optic nerve, oculomotor ... Neurological defects ... clinical #video #ophthalmology ... #physicalexam #neurology
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