9 results
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- 10% cocaine: pupils ... Idiopathic • Trauma ... Dissection • Trauma ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
dissociation • Other causes ... (trauma/orbital ... • Physiologic Anisocoria ... #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 ... than 3mm in this case ... #video #ophthalmology ... #physicalexam #
Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
 • Corneal Abrasion
 • Ultraviolet Keratitis
 • Chemical
Surface Injury: • Corneal ... alkali) Blunt Trauma ... iridodialysis • Pupil ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
a mass as the cause ... Functional • Corneal ... • Tumor • Trauma ... large/unreactive pupil ... #Ophthalmology
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Obvious Physical Trauma ... Pupils a. ... Cornea D. ... EyeExamination #Approach #Ophthalmology ... #PhysicalExam
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
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
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
light reflex • Corneal ... Cough reflex Pupils ... : • Anisocoria ... Casey Albin MD @ ... caseyalbin #PhysicalExam