7 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... dissociation • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... in those rare bilateral ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
tumors along the apex ... how the right pupil ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... a non-reactive pupil ... other potential causes ... Orbital Apex Syndrome ... #ophthalmology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Blurry Vision - Differential ... Ocular Adverse Effects ... GCA • Adie’s pupil ... #diagnosis #ophthalmology ... #causes
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
corrective movement causes ... as it points to bilateral ... PhysicalExam #clinical #video ... #ocular #ophthalmology ... #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... dysfunction to the bilateral ... • Vestibulo-ocular ... Cough reflex Pupils ... #PhysicalExam #neurology