16 results
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Defects - Differential ... - 10% cocaine: pupils ... adrenaline • Cluster Headache ... #Defects #Differential ... Algorithm #Causes #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... Young females Differential ... • Physiologic Anisocoria ... #PhysicalExam # ... neurology #ophthalmology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
- Differential ... lyme • Altered mental ... , mid-dilated pupil ... #Differential # ... Diagnosis #Algorithm #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
a sudden onset anisocoria ... denotes anisocoria ... #video #ophthalmology ... #physicalexam # ... neurology
Signs and Symptoms Associated With Different Headache Etiologies
 • Nonfocal mental status changes - Meningitis, encephalitis,
Signs and Symptoms ... poorly reactive pupils ... glaucoma • Enlarged pupil ... #signs #symptoms ... #clues #differential
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
- Differential ... meningeal irritation signs ... #differential # ... diagnosis #ophthalmology ... #Neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
how the right pupil ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... large/unreactive pupil ... depress when looking medially ... Algorithm #Causes #Ophthalmology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... Symptoms: • Headache ... Acute meningeal signs ... rigidity) • Altered mental ... #diagnosis #neurology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
such as cogan sign ... may constitute a medical ... Myasthenia #Gravis #PhysicalExam ... clinical #video #ophthalmology ... #neurology