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differential physicalexam anisocoria clinical pupil video abducens algorithm blurry causes cn6 cover disorders evaluation extraocular localization movement ptosis pupillary pupils
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... : • CN Ill Palsy ... Other causes of tonic ... #PhysicalExam #neurology ... #ophthalmology
Anisocoria Evaluation Flow Chart - Differential Diagnosis 1. Check pupillary reaction to light 2. Measure pupil size.
- Horner's Syndrome ... Dilatation - Adie's ... Tonic Pupil - ... Traumatic Iris Damage ... #Ophthalmology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Palsy • CN IV ... One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... Adie’s tonic pupil ... control of the iris ... palsy.
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 Cover - Uncover Test Revealing CNVI Palsy Here the Cover-Uncover test unmasks subtle right CN VI palsy.
Patient asked to focus ... #Nerve #clinical ... #video #neurology ... #ophthalmology ... #ocular #physicalexam
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 Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
CN III palsy 2. ... junction, cranial nerve ... eyelid: • Third nerve ... palsy • Horner ... #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
- Differential Diagnosis ... Iris 7. ... Ocular Adverse Effects ... glaucoma • GCA • Adie ... #ophthalmology
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