9 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Neuropathies • Optic Nerve ... Syphilis (light-near ... Midbrain (Parinaud's Syndrome ... #Differential #Diagnosis
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... trauma/orbital tumor ... • Physiologic Anisocoria ... #PhysicalExam #neurology
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
Ramsay Hunt Syndrome (Herpes zoster oticus) wit Facial Nerve Palsy
Triad: 
 - Ipsilateral facial paralysis
 -
Ramsay Hunt Syndrome ... (Herpes zoster ... paralysis - ear ... #video #neurology ... #clinical #video
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
secondary to Herpes Zoster ... a non-reactive pupil ... Ophthalmicus #HZO #clinical ... #video #ophthalmology ... #physicalexam #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... how the right pupil ... #clinical #video ... #physicalexam #neurology ... #Anisocoria
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
- Differential Diagnosis ... include a: • Neurologic ... • Outer Ear: ... II ○ Susac’s syndrome ... virus ○ Herpes zoster
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
threat Cranial Nerves ... Cough reflex Pupils ... : • Anisocoria ... If ok with ICU team ... #PhysicalExam #neurology
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Transverse Myelitis - Clinical ... Enhancement - TM and tumor ... brain and/or optic nerve ... Infections: - Herpes zoster ... #management #neurology