28 results
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
by a tonically dilated ... It is caused by ... infection which causes ... ophthalmology #neurology ... #syndrome
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... Regular and mildly dilated ... Holmes-Adie Syndrome ... dissociation • Other causes ... #PhysicalExam #neurology
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... Guillain-Barré syndrome ... Hyperthyroidism, Serotonin syndrome ... differential #diagnosis #table ... #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 ... confirmation involves diluted ... to respond to diluted ... #physicalexam #neurology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Diagnosis Framework Causes ... of Mydriasis: Dilated ... closure glaucoma, Adie's ... response, Serotonin syndrome ... Miosis: Horner's syndrome
Causes of Hypercalcemia
Parathyroid hormone–dependent
Primary hyperparathyroidism
Familial hypocalciuric hypercalcemia
Lithium-associated
Tertiary hyperparathyroidism
Genetic disorders (e.g., multiple endocrine neoplasia type 1 or
Causes of Hypercalcemia ... Parathyroid hormone–related ... Other humoral syndromes ... Hypercalcemia #Causes ... Differential #Diagnosis #Endocrinology
Selective Serotonin Reuptake Inhibitors: Mechanisms and Side Effects
 • Serotonin Syndrome:
   - Autonomic Hyperactivity:
• Serotonin Syndrome ... , Tachycardia, Dilated ... SSRI Withdrawal Syndrome ... Dizziness - Nausea ... Pathophysiology #Pharmacology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
cocaine: pupils dilate ... pilocarpine • Tonic (Adie's ... pilocarpine • Pharmacologic ... Diagnosis #Algorithm #Causes
Serotonin-Norepinephrine Reuptake Inhibitors(SNRIs): Mechanisms and Side Effects

Withdrawal: Dizziness, Diarrhea, Insomnia, Nausea, Vomiting
Serotonin Syndrome - Potentially Life
Diarrhea, Insomnia, Nausea ... Vomiting Serotonin Syndrome ... , Tachycardia, Dilated ... gain Incr NE: Nausea ... Pathophysiology #Pharmacology
Causes of Hypercalcemia
Parathyroid gland structure-related
 • Primary hyperparathyroidism
 • Parathyroid adenoma
 • Parathyroid hyperplasia
 • Parathyroid
Causes of Hypercalcemia ... gland structure-related ... • Milk-alkali syndrome ... Hypercalcemia #Causes ... #endocrinology