15 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN Ill ... dissociation • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis and Miosis - Differential ... Mydriasis: CN Ill ... herniation (Comatose), Acute ... closure glaucoma, Adie's ... #diagnosis #ophthalmology
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 ... anterior_seg_rocks #Adies ... clinical #video #ophthalmology ... #physicalexam #neurology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Pupillary Defects - Differential ... Fascicle (Other CN Ill ... pilocarpine • Tonic (Adie's ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Disorders • CN Ill ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... #DoubleVision #Differential ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... Pregnancy (AFLP) Pathophysiology ... = nonspecific (nausea ... ↓Antithrombin Ill ... infiltration) Differential
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 ... • Migraine • Acute ... glaucoma • GCA • Adie ... #diagnosis #ophthalmology ... #causes
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
Edema (NCPE) - Differential ... Dyspnea at rest will ... of acute respiratory ... Embolism: • Acute ... #differential #
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Causes of High-anion ... Renal failure (acute ... kidney disease Ill ... Metabolic #Acidosis #differential ... #nephrology