7 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... • Neurologic ... a mass as the cause ... large/unreactive pupil ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
females Differential Diagnosis ... dissociation • Other causes ... trauma/orbital tumor ... #PhysicalExam # ... neurology #ophthalmology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
have a thymic tumor ... anterior_seg_rocks #eyelid ... #Gravis #PhysicalExam ... clinical #video #ophthalmology ... #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... control of the iris ... clinical #video #ophthalmology ... #physicalexam # ... neurology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
- Differential Diagnosis ... Iris 7. ... Ocular Adverse Effects ... GCA • Adie’s pupil ... #ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
facial swelling and eyelid ... consistent with a diagnosis ... experience, the cause ... how the right pupil ... #physicalexam #
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Vestibulo-ocular ... reflex Pupils ... myoclonic movements, tremors ... caseyalbin #PhysicalExam ... #neurology #comatose