7 results
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Defects - Differential ... - 10% cocaine: pupils ... • Oculomotor Nerve ... • Trauma • Tumor ... #Defects #Differential
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Isocoria - Pupillary ... Defects - Differential ... Neuropathies • Optic Nerve ... Tumor • Retinal ... #Defects #Differential
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... trauma/orbital tumor ... • Physiologic Anisocoria ... #PhysicalExam # ... neurology #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
a sudden onset anisocoria ... denotes anisocoria ... suggest oculomotor nerve ... ophthalmology #physicalexam ... #neurology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... - Differential ... Oculomotor (3rd cranial nerve ... hemorrhage, SAH, tumor ... diagnosis #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... Trauma Cranial Nerve ... large/unreactive pupil ... #DoubleVision #Differential
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... threat Cranial Nerves ... Cough reflex Pupils ... : • Anisocoria ... #neurology #comatose