16 results
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Accommodation, RAPD ... Cornea D. ... Anterior Chamber ... Lens G. ... #PhysicalExam
Vision Loss - Differential Diagnosis
Chronic: 
  - Cornea: Scarring, Edema
  - Lens: Cataracts
Chronic: - Cornea ... Scarring, Edema - Lens ... Abrasion, Anterior ... Differential #Diagnosis #causes ... #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
Anterior Chamber ... Ocular Adverse Effects ... • Sjögren’s syndrome ... differential #diagnosis #ophthalmology ... #causes
Red Eye - Differential Diagnosis Framework

What?
Redness in the eye can be caused by many conditions and
like the sclera, anterior ... Episcleritis Ocular ... closure glaucoma Anterior ... Conjunctivitis #ocular ... differential #diagnosis #ophthalmology
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
was elicited by rapid ... dislocation of the lens ... with Marfan’s syndrome ... #Video #Ophthalmology ... #Signs #Ocular
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Neurogenic Ptosis - Neurologic ... nerve palsy • Horner ... change • Contact lens ... #Ptosis #neurology ... Differential #Diagnosis #ophthalmology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
"claw hand" ± Horner ... Syndrome Wrist ... Anterior Shoulder ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Aqueous Humor Production and Drainage
 • Provides nutrition, removes wastes, and transports neurotransmitters to the avascular
the avascular lens ... and cornea ... structural integrity of ocular ... AH leaves the anterior ... Pathophysiology #ophthalmology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... the bilateral cortex ... • Vestibulo-ocular ... caseyalbin #PhysicalExam ... #neurology #comatose
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
An APD was noted ... The most common causes ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology