11 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... : • Adie's Pupil ... Young females Differential ... Diagnosis: • CN Ill Palsy ... #Pupil #PhysicalExam
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Oculomotor (3rd cranial nerve ... ) Palsy: • Brain ... hemorrhage, SAH, tumor ... no neurological cause ... diagnosis #neurology
Causes of Facial Weakness - Differential Diagnosis Algorithm
Forehead Sparing = Central cause
  - Most commonly
Weakness - Differential ... (2% of facial nerve ... palsy) - Unilateral ... : Bell's Palsy ( ... #neurology #sparing
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Pupillary Defects - Differential ... • Oculomotor Nerve ... pilocarpine • Tonic (Adie's ... • Trauma • Tumor ... Diagnosis #Algorithm #Causes
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 ... suggest oculomotor nerve ... palsy. ... #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • CN VI palsy ... ptosis with CN Ill palsy ... • Neurologic ... large/unreactive pupil
Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of
Palsy on Physical ... sleeping as in this case ... #Palsy #PhysicalExam ... clinical #video #orthopedics ... #msk #sports #neurology
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Test for Ulnar Nerve ... grip weakness caused ... #video #neurology ... #physicalexam # ... msk #orthopedics
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Blurry Vision - Differential ... Optic Nerve/Pathway ... • Optic nerve ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma
Signs and Symptoms Associated With Different Headache Etiologies
 • Nonfocal mental status changes - Meningitis, encephalitis,
poorly reactive pupils ... with third nerve ... palsy - Tentorial ... bleed, abscess, or tumor ... #differential #