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ophthalmology physicalexam diagnosis clinical differential anisocoria apex blurry comatose disorders extraocular herpes hzo localization ophthalmicus orbital tonic vision zoster
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... Holmes-Adie Syndrome ... : • Adie's Pupil ... Diagnosis: • CN Ill Palsy ... #neurology #ophthalmology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... differential #diagnosis #ocular
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... Adie’s tonic pupil ... suggest oculomotor nerve ... palsy.
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 Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
Optic Nerve/Pathway ... Tumor • Optic nerve ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... or without eye movement
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
a non-reactive pupil ... acetate to help with ocular ... other potential causes ... HZO #clinical #video ... #physicalexam #neurology
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 The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Definition: • Coma: a state ... • Mutism Pathophysiology ... threat Cranial Nerves ... • Vestibulo-ocular ... Cough reflex Pupils
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