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differential algorithm neurology anisocoria adies defects physicalexam clinical cn3 cniii cranial dilated diplopia doublevision evaluation fixed isocoria nerve tonic unilateral
Anisocoria Evaluation Flow Chart - Differential Diagnosis 1. Check pupillary reaction to light 2. Measure pupil size.
Measure pupil size ... noted, re-measure pupil ... - Adie's Tonic Pupil ... #Ophthalmology ... #Pupillary #Pupils
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm Physiological - Simple Anisocoria ( <O.5mm) - Anisocoria equal
- 10% cocaine: pupils ... Tonic (Adie's) Pupil ... #Pupils #Defects ... #Algorithm #Causes ... #Ophthalmology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm Relative Afferent Pupil Defect • Optic Neuritis • Ischemic
Relative Afferent Pupil ... Neuropathy Constricted Pupils ... #Pupils #Defects ... #Algorithm #Causes ... #Ophthalmology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... Syndrome: • Adie's Pupil ... : • CN Ill Palsy ... of tonic pupil
CN III Palsy - Oculomotor Nerve • Ptosis: Loss of innervation of the levator palpebrae superior.
CN III Palsy - Oculomotor ... Ptosis is severe in comparison ... oblique • Dilated Pupil ... innervation to pupil ... Cranial #neurology #diagnosis
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... Status - Consider Oculomotor ... cranial nerve) Palsy ... no neurological cause ... Fixed #Dilated #Pupil
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 ... , the affected pupil ... Failure of the pupil ... nerve palsy.
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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 ... large/unreactive pupil ... #Algorithm #Causes ... #Ophthalmology
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