19 results
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
(anisocoria) ... - Homer's Syndrome ... #Diagnosis #Ophthalmology ... Abnormalities #Differential ... GrepMed Recommended Text
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Defects - Differential ... Syphilis (light-near ... Midbrain (Parinaud's Syndrome ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... • Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
slightly reduced near ... Clinical confirmation ... #anisocoria #clinical ... #video #ophthalmology ... #physicalexam #neurology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis and Miosis - Differential ... Brainstem herniation (Comatose ... response, Serotonin syndrome ... Miosis: Horner's syndrome ... #diagnosis #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
accommodation (i.e., light-near ... It is caused by ... #PhysicalExam #clinical ... #video #ophthalmology ... #neurology #syndrome
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
how the right pupil ... #clinical #video ... #ophthalmology ... #physicalexam #neurology ... #Anisocoria
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
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
Hearing Loss - Differential ... include a: • Neurologic ... tympanic membrane • Neurologic ... II ○ Susac’s syndrome ... Hearing #Loss #Differential
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Diagnosis Algorithm Clinical ... • Neurologic ... large/unreactive pupil ... #Ophthalmology