11 results
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
improvement in the rash ... a non-reactive pupil ... HZO #clinical #video ... #ophthalmology ... #physicalexam #neurology
Argyll-Robertson Pupil on Physical Exam
Small (myotic), irregular pupil that do not react to light but do
Argyll-Robertson Pupil ... It is due lesion ... #PhysicalExam # ... clinical #video ... #neurology #ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... females Differential Diagnosis ... (trauma/orbital ... #PhysicalExam # ... neurology #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... • Neurologic ... Tumor • Orbital ... large/unreactive pupil ... Algorithm #Causes #Ophthalmology
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
- Differential Diagnosis ... reddish-purple lesions ... blood test • Serology ... Algorithm #Causes #dermatology ... #physicalexam
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... space occupying lesions ... how the right pupil ... #ophthalmology ... #physicalexam #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... suggest oculomotor nerve ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
junction, cranial nerve ... eyelid: • Third nerve ... - Supranuclear lesions ... laceration or orbital ... #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
results from a lesion ... the hospital, diagnosed ... Half #Syndrome #PhysicalExam ... #ophthalmology ... #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... threat Cranial Nerves ... Cough reflex Pupils ... caseyalbin #PhysicalExam ... #neurology #comatose