68 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 ... etiology in this case ... #Ophthalmology ... #Photo #Horners
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 • Isolated
 • Polyglandular autoimmune syndrome 1
 •
Causes of Adrenal ... Insufficiency - Differential ... Polyglandular autoimmune syndrome ... Thrombophilia • Critical ... • Infecton • Trauma
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
Secondary Causes ... hyperviscosity syndrome ... Pelvic/penile trauma ... t be tested or are ... Management #Urology #Differential
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Diagnosis Algorithm Clinical ... a mass as the cause ... #DoubleVision #Differential ... #Ophthalmology
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
Causes of spinal ... • Extrinsic Causes ... other forms of trauma ... herniation - Trauma ... #lesions #differential
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... Diplopia TIER 1-CRITICAL ... , Orbital apex syndrome ... mass #Diplopia #differential ... #diagnosis #ophthalmology
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 ... of tonic pupil (trauma ... PhysicalExam #neurology #ophthalmology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Transverse Myelitis, Trauma ... Guillain-Barre syndrome ... heavy metals), Critical ... #differential #
Hyperglycemia - Differential Diagnosis Algorithm
Diabetes Mellitus:
 • Impaired Glucose Tolerance
 • Type I Diabetes
 • Type
Hyperglycemia - Differential ... • Cushing's Syndrome ... agonists • Others Critical ... Trauma, Surgery, ... endocrinology #causes
FIGURE 2. CHALAZION.  

Hordeola and chalazia are two common causes of the red, swollen eyelid
Hordeola and chalazia are ... two common causes ... #Clinical #Ophthalmology ... #Photo #Chalazion