9 results
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
- Differential ... glaucoma, Adie's tonic ... , Pilocarpine, Iris ... #differential # ... diagnosis #ophthalmology
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
Causes of Palpitations ... CONTRACTIONS • WOLF PARKINSON ... WHITE SYNDROME ... PHAEOCHROMOCYTOMA • PULMONARY ... #Differential #
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
demonstrated the classic miosis ... experience, the cause ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Chronic Obstructive Pulmonary ... Disease Neurologic ... • Stroke • Parkinson's ... Chronic Fatigue Syndrome
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
Physical Exam A tonic ... Caused commonly ... disorders (eg Parkinson ... PhysicalExam #clinical #neurology ... #posture #video
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... of tonic pupil ... #PhysicalExam #neurology ... #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... control of the iris ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
Reconstitution Inflammatory Syndrome ... (IRIS): • In HIV ... neurological symptoms • Caused ... Tuberculosis #diagnosis #differential ... #TB #neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
developed a complete ptosis ... other potential causes ... HZO #clinical #video ... #ophthalmology ... #physicalexam #neurology