12 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
• Light-near dissociaton ... no light-near dissociation ... • Other causes ... • Physiologic Anisocoria ... PhysicalExam #neurology #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
i.e., light-near dissociation ... It is caused by ... viral or bacterial infection ... which causes inflammation ... clinical #video #ophthalmology
Travel History - Clues to Infectious Disease Diagnosis in a Traveler 
 • Where did you
Clues to Infectious ... Geographic disease association ... → Leptospirosis ... Herpesvirus B infection ... InfectiousDiseases #Infections
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 ... with light near dissociation ... anterior_seg_rocks #Adies ... clinical #video #ophthalmology
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Pulse-Temperature Dissociation ... Bradycardia • Infectious ... Babesiosis, Malaria, Leptospirosis ... fever • Non-Infectious ... #Temperature #Dissociation
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Anisocoria - Pupillary ... ( Anisocoria ... pilocarpine • Tonic (Adie's ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
Pulse-Temperature Dissociation ... INCREASES 8-10 BPM INFECTIOUS ... • Malaria • Leptospirosis ... the most likely infection ... #Temperature #Dissociation
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Isocoria - Pupillary ... Syphilis (light-near dissociation ... Amphetamines #Isocoria ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
and bacterial infections ... Causes: • Still's ... Dengue fever • Leptospirosis ... Temperature Pulse Dissociation ... • Malaria • Leptospirosis
Fever After International Travel

Infectious Disease:
• Endemic in either the destination or home region

Viral Syndromes:
Arboviral infections, a
International Travel ... , a common cause ... international travel ... : • Leptospirosis ... African tick typhus (caused