23 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Young females Differential ... Diagnosis: • CN Ill Palsy ... #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
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... - Differential ... cranial nerve) Palsy ... #differential # ... diagnosis #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Oculomotor) Nerve Palsy ... Trochlear) Nerve palsy ... Abducens) Nerve palsy ... #Localization #ophthalmology ... #neurology #differential
Stroke Mimics - Differential Diagnosis - MINT Mnemonic
 • Metabolic: Hyper-glycemia, Hypoglycemia, Wernicke's encephalopathy, Mitochondrial Encephalopathy
Stroke Mimics - Differential ... Infectious: Bell's palsy ... Stroke #Mimics #CVA ... #Differential # ... MINT #Mnemonic #neurology
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
Pronator Drift (Pyramidal Drift) on Physical Exam

Testing showed pronator drift on the left side in this
side in this 70-year-old ... the 50-second test ... clinical #video #neurology ... #cva #stroke
Argyll Robertson (AR) Pupils - “Accommodate but do no React” 

- Pupils constrict on a near
Robertson (AR) Pupils ... no React” - Pupils ... constrict on a near ... React #Prostitute #ophthalmology ... #Diagnosis #Neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
slightly reduced near ... lights with light near ... oculomotor nerve palsy ... clinical #video #ophthalmology ... #physicalexam #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • CN VI palsy ... • Neurologic ... large/unreactive pupil ... Algorithm #Causes #Ophthalmology