10 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Evaluation Flow Chart - Differential ... Anisocoria - 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;
Young females Differential ... Diagnosis: • CN Ill Palsy ... Other causes of tonic ... #PhysicalExam #neurology ... #ophthalmology
Afferent Pupillary Defect

An afferent pupillary defect passing through its timeline. The pupil that does not react
Afferent Pupillary ... The pupil that does ... the consensual reflex ... clinical #video #neurology ... #ophthalmology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... - Differential ... cranial nerve) Palsy ... lntracranial hemorrhage, SAH ... diagnosis #neurology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis and Miosis - Differential ... glaucoma, Adie's tonic ... ), DM, SAH #Mydriasis ... #Miosis #differential ... #diagnosis #ophthalmology
Bilateral tonic pupils observed in the patient with Ross syndrome. 
Absence of bilateral pupillary contraction despite
Bilateral tonic ... #tonic #pupils # ... clinical #video #ophthalmology ... syndrome #bilateral #reflex ... #neurology #absent
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 ... clinical #video #ophthalmology ... #physicalexam #neurology
Signs and Symptoms Associated With Different Headache Etiologies
 • Nonfocal mental status changes - Meningitis, encephalitis,
Associated With Different ... poorly reactive pupils ... glaucoma • Enlarged pupil ... with third nerve palsy ... symptoms #clues #differential
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • CN VI palsy ... • Neurologic ... large/unreactive pupil ... Algorithm #Causes #Ophthalmology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Gag reflex ... • Cough reflex ... Pupils: • Anisocoria ... #PhysicalExam #neurology