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ophthalmology physicalexam diagnosis pupil anisocoria clinical comatose differential disorders extraocular localization
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN Ill Palsy ... dissociation • Other causes ... of tonic pupil ... #PhysicalExam #neurology
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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 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 ... #PhysicalExam #neurology
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