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ophthalmology causes algorithm anisocoria blurry comatose defects dilated diplopia doublevision fixed hearing loss management myelitis otolaryngology otology pupillary pupils transverse
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 ... #Pupil #PhysicalExam
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm Physiological - Simple Anisocoria ( <O.5mm) - Anisocoria equal
Pupillary Defects - Differential ... Diagnosis Algorithm ... • Oculomotor Nerve ... pilocarpine • Tonic (Adie's ... • Trauma • Tumor
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 ... Diagnosis Algorithm ... • Neurologic ... large/unreactive pupil ... #DoubleVision #Differential
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
Hearing Loss - Differential ... Diagnosis Framework ... include a: • Neurologic ... tympanic membrane • Neurologic ... #Diagnosis #otology
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 ... Diagnosis Framework ... Optic Nerve/Pathway ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... threat Cranial Nerves ... Cough reflex Pupils ... myoclonic movements, tremors ... #neurology #comatose
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Enhancement - TM and tumor ... negative, MOG-IgG test ... brain and/or optic nerve ... #management #neurology ... #differential
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