49 results
Marcus Gunn Pupil - Relative Afferent Pupillary Defect (RAPD)
Definition: Afferent loop of the pupillary light reflex
Marcus Gunn Pupil ... pupillary light reflex ... Optic nerve* (main cause ... #Marcus #Gunn #Pupil ... #Defect #RAPD #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... females Differential Diagnosis ... dissociation • Other causes ... #PhysicalExam #neurology
Bell's palsy
There are many different causes of Facial Nerve Palsy. However, the commonest
cause of unilateral facial
many different causes ... the commonest cause ... Loss of Corneal Reflex ... #Bells #Palsy #Neurology ... Signs #Symptoms #Diagnosis
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... - Differential Diagnosis ... no neurological cause ... Fixed #Dilated #Pupil ... #neurology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
- Differential Diagnosis ... Gastro-Esophageal Reflux ... • Esophageal Spasm ... • Trauma - Neurologic ... #Differential #Diagnosis
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Dysphagia Differential Diagnosis ... • Esophageal Spasm ... Progressive Symptoms • Reflux ... #Differential #Diagnosis ... #Algorithm #Causes
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Marcus Gunn's pupils ... the pupillary reflex ... very sensitive diagnostic ... regarding the cause ... Pupillary #Defect #Neurology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... → Refer to Nephrology ... cystoscopy • Refer ... cause not identified ... uw_IMresidency #Hematuria #Diagnosis
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Causes of Hyporeflexia ... Deep coma (any cause ... #differential #diagnosis ... #table #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... In this case, the ... than 3mm in this case ... rare bilateral cases ... #physicalexam #neurology