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diagnosis differential physicalexam clinical pupils tonic video absent anisocoria causes coma comatose dilated localization miosis mydriasis ross
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... dissociaton; • Usually unilateral ... Holmes-Adie Syndrome ... : • Adie's Pupil ... #neurology #ophthalmology
Pupils: Localization in Coma • Small, Reactive pupils: Metabolic coma. • Unilateral Fixed, dilated pupil :
• Unilateral Fixed ... • Bilateral, Large ... • Bilateral, midposition ... , fixed pupils: ... #Coma #Neurology
Mydriasis and Miosis - Differential Diagnosis Framework Causes of Mydriasis: Dilated pupils (mydriasis) more than 7mm • Unilateral
more than 7mm • Unilateral ... closure glaucoma, Adie's ... Mydriasis • Bilateral ... less than 2mm • Unilateral ... , uveitis) • Bilateral
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework If Altered Mental Status - Consider Oculomotor (3rd cranial
Unilateral Fixed ... Dilated Pupil - ... cranial nerve) Palsy ... abnormalities #Unilateral ... #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 ... It is generally unilateral ... in those rare bilateral ... oculomotor nerve palsy
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 Bilateral tonic pupils observed in the patient with Ross syndrome. Absence of bilateral pupillary contraction despite
Bilateral tonic ... Absence of bilateral ... 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
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