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diagnosis differential physicalexam clinical adies anisocoria diplopia algorithm disorders doublevision extraocular herpes horners hzo localization movement ophthalmicus orbital ptosis tonic
Differential diagnoses for the neuro-ophthalmologic finding of diplopia. Neoplastic: • Intraorbital meningioma • Pituitary adenoma
for the neuro-ophthalmologic ... sclerosis • Myasthenia ... Miller-Fisher syndrome ... neuropathy (orbital apex ... Differential #Diagnosis #Causes
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
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Ill Palsy - ... dissociation • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
• CN VI palsy ... Ill palsy ... • Neurologic ... large/unreactive pupil ... #Ophthalmology
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
CN III palsy 2. ... Neurogenic Ptosis - Neurologic ... • Third nerve palsy ... #Ptosis #neurology ... Differential #Diagnosis #ophthalmology
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
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 Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
Orbital Apex Syndrome ... a non-reactive pupil ... Orbital Apex Syndrome ... HZO #clinical #video ... #ophthalmology
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 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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