11 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Isocoria - Pupillary ... Syphilis (light-near ... Midbrain (Parinaud's Syndrome ... #Algorithm #Causes ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... dissociation • Other causes ... #PhysicalExam # ... neurology #ophthalmology
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
swinging light test ... swinging light test ... object (to avoid a near ... #Diagnosis #PhysicalExam ... #Ophthalmology
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Marcus Gunn's pupils ... It is a clear sign ... very sensitive diagnostic ... regarding the cause ... #MacrusGunn #PhysicalExam
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
- Differential Diagnosis ... GCA • Adie’s pupil ... • Sjögren’s syndrome ... #ophthalmology ... #causes
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Strabismus - Ocular ... • Symmetrical corneal ... large/unreactive pupil ... #Algorithm #Causes ... #Ophthalmology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Reflexes: • Pupillary ... light reflex • Corneal ... • Vestibulo-ocular ... Cough reflex Pupils ... If ok with ICU team
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
ulceration • Ocular ... is a skin prick test ... Giant retinal tears ... inhibitors • Uveitis- Ophthalmology ... #signs #symptoms
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
separated and the coronal ... is also a late sign ... When the diagnosis ... are observed for signs ... Newborn #Infant #PhysicalExam
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential Diagnosis ... tract, and often causes ... well as inner ear ... purpura: strong sign ... retinopathy Lab Tests