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diagnosis differential physicalexam causes clinical pupil spinal spinalcord tonic video absent algorithm anisocoria cauda caudaequina comatose disorders equina lesions miosis
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
dissociaton; • Usually unilateral ... Holmes-Adie Syndrome ... Diagnosis: • CN Ill Palsy ... #PhysicalExam #neurology ... #ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework Causes of Mydriasis: Dilated pupils (mydriasis) more than 7mm • Unilateral
closure glaucoma, Adie's ... Mydriasis • Bilateral ... Miosis: Horner's syndrome ... , uveitis) • Bilateral ... differential #diagnosis #ophthalmology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... result in permanent neurologic ... involved) - Tendon reflex ... in deep tendon reflexes ... differential #diagnosis #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
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 Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Sciatica: often bilateral ... Diagnosis: • Spinal cord ... spondylitis • Tethered cord ... Examination - bilateral ... diagnosis #causes #neurology
Bilateral tonic pupils observed in the patient with Ross syndrome. Absence of bilateral pupillary contraction despite
patient with Ross syndrome ... clinical #video #ophthalmology ... #ross #syndrome ... #bilateral #reflex ... #neurology #absent
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 The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... dysfunction to the bilateral ... • Gag reflex ... #PhysicalExam #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Spinal Cord Disorders ... Tract Lesions: • Bilateral ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... disorders #diagnosis #neurology
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