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diagnosis physicalexam pupillary adies algorithm causes defects robertson abnormalities accommodate ar clinical comatose evaluation horners isocoria miosis mydriasis neurosyphilis prostitute
Pupillary Abnormalities Overview - Unequal Pupils (anisocoria) - Tonic pupil (Adie's pupil) - OculomotorNerve (CN
- Tonic pupil (Adie's ... light indicate Argyll ... #Diagnosis #Ophthalmology ... Abnormalities #Differential ... Adies #Horners #ArgyllRobertson
Anisocoria Evaluation Flow Chart - Differential Diagnosis 1. Check pupillary reaction to light 2. Measure pupil size.
Measure pupil size ... noted, re-measure pupil ... Dilatation - Adie's Tonic ... Pupil - Traumatic ... #Pupillary #Pupils
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm Physiological - Simple Anisocoria ( <O.5mm) - Anisocoria equal
- 10% cocaine: pupils ... pilocarpine • Tonic ... (Adie's) Pupil ... #Pupillary #Pupils ... Algorithm #Causes #Ophthalmology
Argyll Robertson (AR) Pupils - “Accommodate but do no React” - Pupils constrict on a near
(AR) Pupils - “ ... no React” - Pupils ... “Prostitute’s Pupil ... React #Prostitute #ophthalmology ... #Diagnosis #Neurology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm Relative Afferent Pupil Defect • Optic Neuritis • Ischemic
Relative Afferent Pupil ... Neuropathy Constricted Pupils ... Syphilis (light-near ... #Pupillary #Pupils ... Algorithm #Causes #Ophthalmology
Argyll Robertson Pupil Definition: - Irregular and small (1-2mm) pupil - Light-near dissociation (accommodation remains intact) -
Pupil Definition ... small (1-2mm) pupil ... #Robertson #Pupil ... #neurology #diagnosis ... #ophthalmology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... Other causes of tonic ... pupil (trauma/orbital ... #ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework Causes of Mydriasis: Dilated pupils (mydriasis) more than 7mm • Unilateral
Mydriasis: Dilated pupils ... glaucoma, Adie's tonic ... pupil, Migraine ... : Constricted pupils ... Robertson pupils
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... , the affected pupil ... Failure of the pupil ... #Pupil #anisocoria
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 The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Cough reflex Pupils ... : • Anisocoria ... If ok with ICU team ... #PhysicalExam #neurology
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