6 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
- Horner's Syndrome ... - CN III Palsy ... Dilatation - Adie's Tonic ... #Evaluation #Algorithm ... Differential #Diagnosis #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN Ill Palsy ... Other causes of tonic ... • Physiologic Anisocoria ... #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... in those rare bilateral ... oculomotor nerve palsy ... clinical #video #ophthalmology ... #physicalexam #neurology
Bilateral tonic pupils observed in the patient with Ross syndrome. 
Absence of bilateral pupillary contraction despite
Bilateral tonic ... #tonic #pupils # ... clinical #video #ophthalmology ... #bilateral #reflex ... #neurology #absent
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
dysfunction to the bilateral ... • Vestibulo-ocular ... reflexGag ... : • Anisocoria ... #PhysicalExam #neurology
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
Tract Lesions: • Bilateral ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... disorders #diagnosis #neurology ... differential #algorithm