16 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... no light-near dissociation ... (trauma/orbital ... #PhysicalExam #
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 ... Argyll #Robertson #Pupil ... ophthalmology #physicalexam
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 ... tonically dilated pupil ... i.e., light-near dissociation ... #PhysicalExam #
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... recent illness or trauma ... Adie’s tonic pupil ... with light near dissociation ... ophthalmology #physicalexam
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Cataract/Lens Dislocation ... • Tumor • Trauma ... large/unreactive pupil ... • Aneurysm • Trauma ... • Aneurysm • Trauma
Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
 • Corneal Abrasion
 • Ultraviolet Keratitis
 • Chemical
alkali) Blunt Trauma ... Hyphema, history of trauma ... iridodialysis • Pupil ... Lens: Cataract, dislocation
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Obvious Physical Trauma ... Pupils a. ... Ophthalmology #PhysicalExam
Hippus, also known as pupillary athetosis is spasmodic, rhythmic, but regular dilating and contracting pupillary movements
noticeable when pupil ... mental status, trauma ... Pupillary #Athetosis #PhysicalExam
Peroneal Tendon Dislocation after Trauma

The retinaculum is torn leading to dislocation of the tendon, leaving the
Peroneal Tendon Dislocation ... after Trauma ... torn leading to dislocation ... #Trauma #msk #clinical ... sports #ankle #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
Trauma Cornea ... edema • Lens dislocation ... GCA • Adie’s pupil