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ophthalmology physicalexam clinical diagnosis anisocoria apex dilated fixed herpes hzo myelitis ophthalmicus orbital syndrome tonic transverse unilateral zoster
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... : • Adie's Pupil ... Young females Differential ... Diagnosis: • CN Ill Palsy ... #neurology #ophthalmology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework If Altered Mental Status - Consider Oculomotor (3rd cranial
- Differential ... Oculomotor (3rd cranial nerve ... ) Palsy: • Brain ... no neurological cause ... diagnosis #neurology
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 ... suggest oculomotor nerve ... palsy. ... #physicalexam #neurology
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 Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
secondary to Herpes Zoster ... a non-reactive pupil ... other potential causes ... HZO #clinical #video ... #physicalexam #neurology
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 Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
• Infectious causes ... brain and/or optic nerve ... Infections: - Herpes zoster ... Myelitis #diagnosis #management ... #neurology #differential
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