13 results
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis and Miosis - Differential ... Diagnosis Framework Causes ... Opiate withdrawal, Antipsychotic ... Hypothermia Causes ... Mydriasis #Miosis #differential
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... Young females Differential ... dissociation • Other causes ... #PhysicalExam #
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Causes of Excessive ... Daytime Sleepiness - Differential ... Syndrome Medical/Psychiatric ... Opioid Analgesics, Antipsychotics ... Diagnosis #Algorithm #Causes
Selective Serotonin Reuptake Inhibitors: Mechanisms and Side Effects
 • Serotonin Syndrome:
   - Autonomic Hyperactivity:
Tachycardia, Dilated pupils ... Abnormalities: Ocular ... Dizziness - Nausea ... #SideEffects #Psychiatry
Serotonin-Norepinephrine Reuptake Inhibitors(SNRIs): Mechanisms and Side Effects

Withdrawal: Dizziness, Diarrhea, Insomnia, Nausea, Vomiting
Serotonin Syndrome - Potentially Life
Diarrhea, Insomnia, Nausea ... Tachycardia, Dilated pupils ... Abnormalities: Ocular ... gain Incr NE: Nausea ... #SideEffects #Psychiatry
Persistent Pupillary Membrane (PPM) on Slit Lamp Ocular Examination

This membrane would be a remainder of the
) on Slit Lamp Ocular ... large enough to cause ... Pupillary #Membrane #Pupil ... #Ocular #PhysicalExam
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... In this case, the ... than 3mm in this case ... rare bilateral cases ... ophthalmology #physicalexam
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 ... Concussion Other Causes ... GCA • Adie’s pupil ... Blurry #Vision #differential ... ophthalmology #causes
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Strabismus - Ocular ... Misalignment - Differential ... large/unreactive pupil ... #Strabismus #Ocular ... Diagnosis #Algorithm #Causes
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... acetate to help with ocular ... other potential causes ... the condition, case ... ophthalmology #physicalexam