45 results
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case) right eye. 
Note that
Horner's Syndrome ... input to (in this case ... Images #Clinical #Ophthalmology ... #Photo #Horners ... #Syndrome #Ptosis
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... surgery; as in our case ... The video highlights ... #clinical #video ... #ophthalmology
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
hyperviscosity syndrome ... Pelvic/penile trauma ... t be tested or are ... #Priapism #Diagnosis
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... of tonic pupil (trauma ... PhysicalExam #neurology #ophthalmology
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... other forms of trauma ... Brown-Séquard Syndrome ... herniation - Trauma ... #differential #diagnosis
Diagnostic Framework for Hemolysis - Intravascular vs Extravascular Causes
Intravascular Hemolysis:
 • Mechanical Trauma (Microangiopathic hemolytic anemia):
Diagnostic Framework ... • Mechanical Trauma ... ) - HELLP syndrome ... Hemolytic uremic syndrome ... lactam antibiotics are
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... the follow up video ... the hospital, diagnosed ... PhysicalExam #clinical #video ... #ophthalmology
Schistocytes - The arrows point to schistocytes which are fragmented red blood cells. Also called schizocytes,
schistocytes which are ... Schistocytes are ... In the right photo ... is mechanical trauma ... hemolytic- uremic syndromes
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
- Differential Diagnosis ... Trauma Cornea ... • Sjögren’s syndrome ... hyperviscosity syndrome ... #ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
- Differential Diagnosis ... three clinical diagnoses ... Direct or indirect trauma ... #Differential #Diagnosis ... #ophthalmology