15 results
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... infection which causes ... inflammation, and affects ... clinical #video #ophthalmology ... #neurology #syndrome
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... dissociation • Other causes ... trauma/orbital tumor ... #PhysicalExam #neurology ... #ophthalmology
Neuro-OphthaImoIogy - Visual Field Defects - Localization Map
 - Optic Nerve Lesion (Monocular vision loss)
 -
Neuro-OphthaImoIogy ... - Visual Field Defects ... Pituitary/metastatic tumor ... Differential #Diagnosis #Anatomy ... #Causes #Ophthalmology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Isocoria - Pupillary Defects ... Afferent Pupil Defect ... • Optic Nerve Tumor ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Anisocoria - Pupillary Defects ... pilocarpine • Tonic (Adie's ... • Trauma • Tumor ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
palsy • CN VI (Abducens ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential
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 ... unilateral and affects ... clinical #video #ophthalmology ... #physicalexam #neurology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Concussion Other Causes ... glaucoma • GCA • Adie ... • Visual field defect ... differential #diagnosis #ophthalmology ... #causes
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
hemorrhage, SAH, tumor ... no neurological cause ... • Medication effects ... differential #diagnosis #neurology
Causes of Polyuria - Differential Diagnosis
Excess Intake of Water:
 • Primary polydipsia (a.k.a. "psychogenic polydipsia")
 •
Causes of Polyuria ... Other: Mannitol Defect ... Hypoxic injury, Tumor ... Differential #Diagnosis #Causes ... #nephrology