12 results
Seesaw nystagmus 
-> eye move in an opposed vertical fashion (one goes up while the other
Seesaw nystagmus ... commonly parasellar masses ... brainstem stroke, head trauma ... #nystagmus #ophthalmology ... #ocular #PhysicalExam
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... a mass as the cause ... Functional • Corneal ... large/unreactive pupil ... #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
Seesaw Nystagmus 

Sawtooth or seesaw nystagmus is an unusual but characteristic type of nystagmus. Typically there
elevation in one eye ... We have varied causes ... , such as trauma ... nystagmus #sawtooth #physicalexam ... clinical #video #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
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
experience, the cause ... how the right pupil ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria