13 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• Examine both eyes ... • Neurologic ... Functional • Corneal ... large/unreactive pupil ... #Ophthalmology
Hippus, also known as pupillary athetosis is spasmodic, rhythmic, but regular dilating and contracting pupillary movements
noticeable when pupil ... independent of eye ... mental status, trauma ... #Athetosis #PhysicalExam ... Clinical #Video #Ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... of the eye and ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology #syndrome
Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
 • Corneal Abrasion
 • Ultraviolet Keratitis
 • Chemical
Traumatic Red Eye ... alkali) Blunt Trauma ... iridodialysis • Pupil ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... dissociation • Other causes ... (trauma/orbital ... #PhysicalExam # ... neurology #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
recent illness or trauma ... In this case, the ... clinical #video #ophthalmology ... #physicalexam # ... neurology
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Approach to an Eye ... Obvious Physical Trauma ... Pupils a. ... Cornea D. ... #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
Trauma Cornea ... Concussion Other Causes ... GCA • Adie’s pupil ... differential #diagnosis #ophthalmology ... #causes
Hippus on Physical Exam
Hippus: alternating dilation and constriction of pupils independent of illumination, convergence or psychic
constriction of pupils ... encephalopathies, MS, MG, trauma ... #Hippus #PhysicalExam ... clinical #video #neurology ... #ophthalmology
Hippus on Physical Exam

Hippus: alternating dilation and constriction of pupils independent of illumination, convergence or psychic
constriction of pupils ... encephalopathies, MS, MG, trauma ... #Hippus #PhysicalExam ... clinical #video #neurology ... #ophthalmology