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diagnosis differential physicalexam clinical video absent algorithm anisocoria causes comatose cord dilated disorders miosis mydriasis pupils spinal spinalcord
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
Mydriasis and Miosis - Differential Diagnosis Framework Causes of Mydriasis: Dilated pupils (mydriasis) more than 7mm • Unilateral
more than 7mm • Unilateral ... tonic pupil, Migraine ... Mydriasis • Bilateral ... less than 2mm • Unilateral ... , uveitis) • Bilateral
Bilateral tonic pupils observed in the patient with Ross syndrome. Absence of bilateral pupillary contraction despite
Bilateral tonic ... Absence of bilateral ... #tonic #pupils # ... #ross #syndrome ... #bilateral #reflex
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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 ... 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 ... #Tonic #Pupil #
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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
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Tract Lesions: • Bilateral ... Toxic Metabolic: ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... disorders #diagnosis #neurology
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