9 results
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
defect (RAPD). ... very sensitive diagnostic ... regarding the cause ... #Defect #Neurology ... #Clinical #Video
Chronic Vision Loss by Anatomic Location - Differential Diagnosis Algorithm
Cornea:
 • Keratoconus
 • Stromal Scaring
 •
Anatomic Location - Differential ... Diagnosis Algorithm ... Cornea: • Keratoconus ... • Edema • Pterygium ... #Causes #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN ... dissociation • Other causes ... #PhysicalExam #neurology ... #ophthalmology
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 ... angle-closure glaucoma • GCA ... #diagnosis #ophthalmology ... #causes
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... Radiation • Rapid ... #Hematuria #Differential ... #Diagnosis #causes ... #urology #nephrology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... a mass as the cause ... Functional • Corneal ... #Causes #Ophthalmology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... very remarkable w/differential ... identifies 85 to 95% of cases ... (Cornelia NEJM ... required +/- prompt ophthalmology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... the bilateral cortex ... Reflexes: • Pupillary ... #PhysicalExam #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
An APD was noted ... the follow up video ... the hospital, diagnosed ... #ophthalmology ... #neurology