24 results
Pupils: Localization in Coma
 • Small, Reactive pupils: Metabolic coma.
 • Unilateral Fixed, dilated pupil :
Pupils: Localization ... Small, Reactive pupils ... herniation, PCOM aneurysm ... • Horner's syndrome ... #Coma #Neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Holmes-Adie Syndrome ... - no light-near ... #PhysicalExam #neurology ... #ophthalmology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Relative Afferent Pupil ... Neuropathy Constricted Pupils ... Syphilis (light-near ... Midbrain (Parinaud's Syndrome ... Algorithm #Causes #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
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... Physical Exam Adie's pupil ... accommodation (i.e., light-near ... clinical #video #ophthalmology ... #neurology #syndrome
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
paralysis (PCA Aneurysm ... , Adie's tonic pupil ... response, Serotonin syndrome ... Miosis: Horner's syndrome ... differential #diagnosis #ophthalmology
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... • Light-near dissociation ... (tectal pupils) ... neudrawlogy #Parinauds #syndrome ... #neurology #diagnosis
All About Horner's Syndrome

Horner's syndrome, known as 
"oculosympathetic paresis" by people 
who don't have friends, is
About Horner's Syndrome ... Horner's syndrome ... (constricted pupil ... #Overview #Ophthalmology ... #Diagnosis #Neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... slightly reduced near ... lights with light near ... clinical #video #ophthalmology ... #physicalexam #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... Diabetes Mellitus • Aneurysm ... large/unreactive pupil ... Diabetes Mellitus • Aneurysm ... Algorithm #Causes #Ophthalmology