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Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
perform the swinging light ... Normal swinging light ... Shine light into ... Shine light into ... #Diagnosis #PhysicalExam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
pupil (4-6mm); • Light-near ... when reexposed to light ... movements - no light-near ... asymmetry in dark and light ... #Adies #Pupil #PhysicalExam
Argyll-Robertson Pupil on Physical Exam
Small (myotic), irregular pupil that do not react to light but do
do not react to light ... fibers of the light ... Robertson #Pupil #PhysicalExam
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
of intermittent light ... the alternating light ... contraction to the light ... Pupils #MacrusGunn #PhysicalExam
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
-2mm) pupil - Light-near ... ophthalmology #physicalexam
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
prominent in bright light ... bright or direct light ... worse in bright lights ... with light near ... ophthalmology #physicalexam
Afferent Pupillary Defect

An afferent pupillary defect passing through its timeline. The pupil that does not react
not react to the light ... ophthalmology #PhysicalExam
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
reacts slowly to light ... accommodation (i.e., light-near ... #Adies #Pupil #PhysicalExam
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Light Reflex, Accommodation ... Ophthalmology #PhysicalExam
Plantar Reflex (Babinski) Equivalents
Plantar toe reflex - Babinski - Move an object along the lateral aspect
Make multiple light ... Diagnosis #Neurology #PhysicalExam