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physicalexam clinical adies anisocoria algorithm apex blurry comatose diplopia disorders doublevision extraocular half herpes horners hzo localization movement one oneandahalf
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN ... Ill Palsy - ... #ophthalmology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • CN VI palsy ... • Neurologic ... large/unreactive pupil ... #Causes #Ophthalmology
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... CN III palsy 2. ... • Third nerve palsy ... #Differential # ... Diagnosis #ophthalmology
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... oculomotor nerve palsy ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
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 Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... how the right pupil ... #ophthalmology ... #physicalexam #neurology
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 One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
the follow up video ... The most common causes ... the hospital, diagnosed ... #ophthalmology ... #neurology
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 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 ... Diagnosis Framework ... GCA • Adie’s pupil ... #diagnosis #ophthalmology ... #causes
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
a non-reactive pupil ... acetate to help with ocular ... HZO #clinical #video ... #ophthalmology ... #physicalexam #neurology
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 The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... • Vestibulo-ocular ... Cough reflex Pupils ... #PhysicalExam #neurology
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