11 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Anisocoria - CN III Palsy ... Dilatation - Adie's Tonic ... Anisocoria #Evaluation #Algorithm ... #Differential # ... Diagnosis #Ophthalmology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Dilated Pupil - ... Differential Diagnosis ... cranial nerve) Palsy ... lntracranial hemorrhage, SAH ... diagnosis #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN Ill Palsy ... Other causes of tonic ... #PhysicalExam #neurology ... #ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis and Miosis - Differential ... glaucoma, Adie's tonic ... ), DM, SAH #Mydriasis ... #Miosis #differential ... #diagnosis #ophthalmology
Bilateral tonic pupils observed in the patient with Ross syndrome. 
Absence of bilateral pupillary contraction despite
Bilateral tonic ... pupils observed ... #tonic #pupils # ... clinical #video #ophthalmology ... #reflex #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... oculomotor nerve palsy ... clinical #video #ophthalmology ... #physicalexam #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diagnosis Algorithm ... • CN VI palsy ... • Neurologic ... large/unreactive pupil ... #Causes #Ophthalmology
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Misalignment - Differential ... Diagnosis Algorithm ... corneal light reflex ... large/unreactive pupil ... #Causes #Ophthalmology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... dysfunction to the bilateral ... • Gag reflex ... Pupils: • Anisocoria ... #PhysicalExam #neurology
Causes of Dysarthria - Differential Diagnosis Algorithm
Lower Motor Neuron - Slow, Low Volume, Breathy Speech, Tongue
of Dysarthria - Differential ... Diagnosis Algorithm ... jerk, hyperactive gag ... reflex. ... #Dysarthria #Neurology