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diagnosis ophthalmology causes algorithm clinical video adies anisocoria defects pupillary apex blurry clues comatose dilated diplopia doublevision fixed froments hand
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm Relative Afferent Pupil Defect • Optic Neuritis • Ischemic
Pupillary Defects - Differential ... Relative Afferent Pupil ... Neuropathies • Optic Nerve ... Neuropathy Constricted Pupils ... Isocoria #Pupillary #Pupils
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm Physiological - Simple Anisocoria ( <O.5mm) - Anisocoria equal
- 10% cocaine: pupils ... • Oculomotor Nerve ... Tonic (Adie's) Pupil ... • Trauma • Tumor ... Anisocoria #Pupillary #Pupils
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... Oculomotor (3rd cranial nerve ... hemorrhage, SAH, tumor ... Fixed #Dilated #Pupil ... diagnosis #neurology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... Syndrome: • Adie's Pupil ... causes of tonic pupil ... #PhysicalExam #
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 ... , the affected pupil ... Failure of the pupil ... #neurology
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 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
Froment’s Test for Ulnar Nerve Palsy This tests for pinch grip weakness caused by ulnar nerve palsy,
Test for Ulnar Nerve ... which the examiner pulls ... clinical #video #neurology ... #physicalexam # ... msk #orthopedics
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 Signs and Symptoms Associated With Different Headache Etiologies • Nonfocal mental status changes - Meningitis, encephalitis,
poorly reactive pupils ... glaucoma • Enlarged pupil ... with third nerve ... bleed, abscess, or tumor ... symptoms #clues #differential
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
a non-reactive pupil ... The nerves at the ... , abducens nerve ... ophthalmology #physicalexam ... #neurology
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 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 neuritis • Tumor ... • Optic nerve ... GCA • Adie’s pupil
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