17 results
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis and Miosis - Differential ... Diagnosis Framework ... ), DM, SAH #Mydriasis ... #Miosis #differential ... #diagnosis #ophthalmology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... - Differential ... lntracranial hemorrhage, SAH ... no neurological cause ... diagnosis #neurology
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
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
Priapism Secondary ... Causes: Medications ... #Priapism #Diagnosis ... #Management #Urology ... #Differential
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
otherwise healthy and had ... In this case, the ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... large/unreactive pupil ... #DoubleVision #Differential ... #Causes #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... how the right pupil ... #ophthalmology ... #physicalexam #neurology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... Sedimentation rate (ESR or sed ... very remarkable w/differential ... identifies 85 to 95% of cases ... required +/- prompt 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
Diagnosis Framework ... angle-closure glaucoma • GCA ... • Adie’s pupil ... #diagnosis #ophthalmology ... #causes
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Rash - Differential ... Diagnosis Algorithm ... in primary or secondary ... RA, Sjogren's, GPA