8 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN ... dissociation • Other causes ... #PhysicalExam # ... neurology #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... infection which causes ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology #syndrome
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
treat underlying cause ... cirrhosis, nephrotic syndrome ... Pulmonary Diseases ... , CNS Disease, Meds ... #diagnosis #nephrology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Differential Diagnosis Algorithm ... • Neurologic ... large/unreactive pupil ... Differential #Diagnosis #Algorithm ... #Causes #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
experience, the cause ... how the right pupil ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
Reconstitution Inflammatory Syndrome ... lymphadenopathy, pulmonary ... tuberculoma (later stage ... neurological symptoms • Caused ... or abruptly • CN
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... other potential causes ... clinical #video #ophthalmology ... #physicalexam # ... neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Definition: • Coma: a state ... • Locked-in syndrome ... Cough reflex Pupils ... caseyalbin #PhysicalExam ... #neurology #comatose