9 results
All About Horner's Syndrome

Horner's syndrome, known as 
"oculosympathetic paresis" by people 
who don't have friends, is
Syndrome Horner's ... (constricted pupil ... Horner's svndrome ... #Ophthalmology ... #Diagnosis #Neurology
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
- Differential Diagnosis ... - Horner's ... Syndrome - Physiologic ... Anisocoria #Evaluation #Algorithm ... #Ophthalmology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Algorithm Relative ... Midbrain (Parinaud's Syndrome ... #Algorithm #Causes ... #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... of Horner's syndrome ... how the right pupil ... #physicalexam #
CN III Palsy - Oculomotor Nerve
 • Ptosis: Loss of innervation of the levator palpebrae superior.
Ptosis is severe in comparison ... to Horner's syndrome ... innervation to pupil ... Nerve #Cranial #neurology ... #diagnosis
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... trauma/orbital tumor ... #PhysicalExam # ... neurology #ophthalmology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Algorithm Red ... papilledema • Horner ... syndrome, history ... signs, mid-dilated pupil ... #Algorithm #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Algorithm Clinical ... • Neurologic ... large/unreactive pupil ... #Algorithm #Causes ... #Ophthalmology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Cough reflex Pupils ... myoclonic movements, tremors ... caseyalbin #PhysicalExam ... #neurology #comatose