14 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Diagnosis Algorithm ... Syphilis (light-near ... Midbrain (Parinaud's Syndrome ... Diagnosis #Algorithm ... #Causes #Ophthalmology
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
to Orbital Apex Syndrome ... facial sensory deficits ... #Clinical #Video ... #Ophthalmology ... #PhysicalExam #NEJM
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
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 ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
., light-near dissociation ... #Adies #Pupil #PhysicalExam ... #clinical #video ... #ophthalmology ... #neurology #syndrome
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
Positive pathergy test ... is a skin prick test ... Behcet disease) Differential ... Giant retinal tears ... inhibitors • Uveitis- Ophthalmology
Floaters - Differential Diagnosis Framework

What?
Vitreous Floaters:
• Microscopic collagen fibers within the vitreous that tend to clump
Floaters - Differential ... Diagnosis Framework ... vitreous that tend ... with visual field defect ... #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the follow up video ... the hospital, diagnosed ... #PhysicalExam # ... clinical #video ... #ophthalmology #
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... Reflexes: • Deep tendon ... If ok with ICU team ... caseyalbin #PhysicalExam
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... Diagnosis Framework ... Diagnosis: • Systemic ... diminished, or tender ... claudication, pulse deficits