31 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Pupillary Defects - Differential ... Diagnosis Algorithm ... Neuropathies • Optic Nerve ... Syphilis (light-near ... Midbrain (Parinaud's Syndrome
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN ... trauma/orbital tumor ... #PhysicalExam #neurology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... - Differential ... Oculomotor (3rd cranial nerve ... hemorrhage, SAH, tumor ... diagnosis #neurology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... accommodation (i.e., light-near ... #PhysicalExam #clinical ... #video #ophthalmology ... #neurology #syndrome
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Myelitis, Trauma, Tumor ... • Motor Nerves ... heavy metals), Critical ... Weakness #Causes #differential ... #diagnosis #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Clinical Pearls ... • Neurologic ... large/unreactive pupil ... #DoubleVision #Differential
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Clinical confirmation ... suggest oculomotor nerve ... #anisocoria #clinical ... #video #ophthalmology ... #physicalexam #neurology
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
) - Differential ... Diagnosis Framework ... - Ramsay Hunt syndrome ... V: • TMJ syndrome ... #diagnosis
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
Hearing Loss - Differential ... Diagnosis Framework ... include a: • Neurologic ... II ○ Susac’s syndrome ... #Diagnosis #otology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... a non-reactive pupil ... Ophthalmicus #HZO #clinical ... #video #ophthalmology ... #physicalexam #neurology