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diagnosis differential physicalexam algorithm anisocoria causes clinical pupils video absent blurry comatose cord disorders evaluation miosis mydriasis pupillary spinal spinalcord
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... Holmes-Adie Syndrome ... : • Adie's Pupil ... Other causes of tonic ... #neurology #ophthalmology
Anisocoria Evaluation Flow Chart - Differential Diagnosis 1. Check pupillary reaction to light 2. Measure pupil size.
- Horner's Syndrome ... Anisocoria - CN III Palsy ... Dilatation - Adie's ... Tonic Pupil - ... Differential #Diagnosis #Ophthalmology
Bilateral tonic pupils observed in the patient with Ross syndrome. Absence of bilateral pupillary contraction despite
Bilateral tonic ... #tonic #pupils # ... #ross #syndrome ... #bilateral #reflex ... #neurology #absent
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 Mydriasis and Miosis - Differential Diagnosis Framework Causes of Mydriasis: Dilated pupils (mydriasis) more than 7mm • Unilateral
closure glaucoma, Adie's ... tonic pupil, Migraine ... Miosis: Horner's syndrome ... ), DM, SAH #Mydriasis ... differential #diagnosis #ophthalmology
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 ... #Tonic #Pupil # ... #physicalexam #neurology
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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
Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... vision → visual loss ... • Sjögren’s syndrome ... differential #diagnosis #ophthalmology
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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