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diagnosis differential physicalexam causes clinical video algorithm anisocoria tonic absent blurry coma comatose dilated evaluation eyeball horners horny localization miosis
Pupils: Localization in Coma • Small, Reactive pupils: Metabolic coma. • Unilateral Fixed, dilated pupil :
• Unilateral Fixed ... fixed pupils: Midbrain ... , fixed pupils: ... • Horner's syndrome ... #Coma #Neurology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... Holmes-Adie Syndrome ... : • Adie's Pupil ... #neurology #ophthalmology
Anisocoria Evaluation Flow Chart - Differential Diagnosis 1. Check pupillary reaction to light 2. Measure pupil size.
Measure pupil size ... noted, re-measure pupil ... Dilatation - Adie's ... Tonic Pupil - ... #Pupillary #Pupils
Mydriasis and Miosis - Differential Diagnosis Framework Causes of Mydriasis: Dilated pupils (mydriasis) more than 7mm • Unilateral
Mydriasis: Dilated pupils ... closure glaucoma, Adie's ... tonic pupil, Migraine ... : Constricted pupils ... Argyll Robertson pupils
Adie's Pupil on Physical Exam Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... pupil is a neurological ... tonically dilated pupil ... and affects the pupil ... #neurology #syndrome
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 Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework If Altered Mental Status - Consider Oculomotor (3rd cranial
Unilateral Fixed ... Dilated Pupil - ... cranial nerve) Palsy ... #Pupil #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 ... , the affected pupil ... Failure of the pupil ... #Tonic #Pupil #
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 Bilateral tonic pupils observed in the patient with Ross syndrome. Absence of bilateral pupillary contraction despite
pupils observed ... #tonic #pupils # ... clinical #video #ophthalmology ... #bilateral #reflex ... #neurology #absent
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 The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... dysfunction to the bilateral ... • Gag reflex ... Pupils: • Anisocoria ... #PhysicalExam #neurology
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm Phoria: • Latent deviation • Symmetrical corneal light reflex,
corneal light reflex ... Asymmetrical light reflex ... hyper/hypotopia, mixed ... large/unreactive pupil ... Algorithm #Causes #Ophthalmology
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