9 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... : • Adie's Pupil ... Ill Palsy - ... #Pupil #PhysicalExam ... #neurology #ophthalmology
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Evaluation Flow Chart - Differential ... Diagnosis 1. ... Anisocoria - CN III Palsy ... Dilatation - Adie's ... #Diagnosis #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... Adie’s tonic pupil ... #physicalexam # ... neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Oculomotor) Nerve Palsy ... Trochlear) Nerve palsy ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • CN VI palsy ... • Neurologic ... large/unreactive pupil ... #Causes #Ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... CN III palsy 2. ... • Third nerve palsy ... #Differential # ... Diagnosis #ophthalmology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Diagnosis Framework ... Ocular Adverse Effects ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... #diagnosis #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the hospital, diagnosed ... with MS, and started ... Half #Syndrome #PhysicalExam ... clinical #video #ophthalmology ... #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Vestibulo-ocular ... Cough reflex Pupils ... caseyalbin #PhysicalExam ... #neurology #comatose