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differential algorithm neurology anisocoria adies defects ocular physicalexam abnormalities argyllrobertson clinical clues cniii cranial dilated diplopia disorders doublevision evaluation extraocular
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
Pupillary Abnormalities Overview - Unequal Pupils (anisocoria) - Tonic pupil (Adie's pupil) - OculomotorNerve (CN
Overview - Unequal Pupils ... anisocoria) - Tonic pupil ... (Adie's pupil) ... - Equal Pupils ... #Diagnosis #Ophthalmology
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 ... #Palsy #Oculomotor
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
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
Mydriasis and Miosis - Differential Diagnosis Framework Causes of Mydriasis: Dilated pupils (mydriasis) more than 7mm • Unilateral
Mydriasis: Dilated pupils ... , Adie's tonic pupil ... : Constricted pupils ... Argyll Robertson pupils ... #ophthalmology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Ill (Oculomotor ... ) Nerve Palsy ... Skew Deviation Casey ... #Localization #ophthalmology ... #differential #diagnosis
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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