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differential algorithm neurology anisocoria physicalexam adies defects unilateral acute addiction afferent anticholinergics assessment buprenorphine clinical cn3 cniii cows cranial defect
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 ... dilate symmetrically ... Tonic (Adie's) Pupil ... #Pupils #Defects ... #Ophthalmology
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect. http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685 Normal
Both pupils should ... Both pupils remain ... Instead of pupil ... #Diagnosis #PhysicalExam ... #Ophthalmology
CN III Palsy - Oculomotor Nerve • Ptosis: Loss of innervation of the levator palpebrae superior.
CN III Palsy - Oculomotor ... Ptosis is severe in comparison ... inferior oblique • Dilated ... Pupil: Loss of ... innervation to pupil
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 ... Regular and mildly dilated ... pupil (4-6mm); ... : • CN Ill Palsy ... of tonic pupil
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework If Altered Mental Status - Consider Oculomotor (3rd cranial
Pupil - Differential ... Status - Consider Oculomotor ... cranial nerve) Palsy ... no neurological cause ... #Pupil #differential
Mydriasis and Miosis - Differential Diagnosis Framework Causes of Mydriasis: Dilated pupils (mydriasis) more than 7mm • Unilateral
of Mydriasis: Dilated ... pupils (mydriasis ... , Adie's tonic pupil ... : Constricted pupils ... Argyll Robertson pupils
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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 Horner's Syndrome • Anhidrosis: Diminished sweating of ipsilateral face and neck • Miosis: Loss of sympathetic
innervation to dilator ... pupillae muscle ... Ptosis is mild in comparison ... to oculomotor nerve ... palsy (levator
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