130 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... females Differential Diagnosis ... dissociation • Other causes ... #PhysicalExam # ... neurology #ophthalmology
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson Pupil ... small (1-2mm) pupil ... - Light-near dissociation ... #neurology #diagnosis ... ophthalmology #physicalexam
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
accommodation (i.e., light-near ... It is caused by ... infection which causes ... #PhysicalExam # ... ophthalmology #neurology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Relative Afferent Pupil ... Syphilis (light-near ... #Differential #Diagnosis ... #Algorithm #Causes
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
object (to avoid a near ... pupil response) ... Both pupils should ... Both pupils remain ... #Diagnosis #PhysicalExam
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... - Differential Diagnosis ... no neurological cause ... Fixed #Dilated #Pupil ... #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
slightly reduced near ... In this case, the ... lights with light near ... ophthalmology #physicalexam ... #neurology
Argyll Robertson (AR) Pupils - “Accommodate but do no React” 

- Pupils constrict on a near
Robertson (AR) Pupils ... no React” - Pupils ... constrict on a near ... ophthalmology #Diagnosis ... #Neurology #Neurosyphilis
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
• Light-near dissociation ... (tectal pupils) ... Parinauds #syndrome #neurology ... #diagnosis
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... or induced by treatment ... how the right pupil ... ophthalmology #physicalexam ... #neurology #Anisocoria