12 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Anisocoria Evaluation ... - Horner's ... Syndrome - Physiologic ... III Palsy - Pharmacologic ... Differential #Diagnosis #Ophthalmology
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
Unequal Pupils (anisocoria ... - Homer's Syndrome ... #Diagnosis #Ophthalmology ... #Adies #Horners ... GrepMed Recommended Text
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... syndrome. ... #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN Ill Palsy ... • Physiologic Anisocoria ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
HORNY PAMELA Mnemonic for Horner’s Syndrome

Horner’s syndrome is classically associated with ptosis, miosis, and anhidrosis.
PAMELA Mnemonic for Horner ... ’s Syndrome Horner ... severe than CN III palsy ... A - Anisocoria - ... #Neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
"claw hand" ± Horner ... Syndrome Wrist ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
CN III palsy 2. ... Horner’s syndrome ... • Third nerve palsy ... • Horner syndrome ... Differential #Diagnosis #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
a sudden onset anisocoria ... oculomotor nerve palsy ... clinical #video #ophthalmology ... #physicalexam # ... neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... with a right gaze palsy ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology
Cover - Uncover Test Revealing CNVI Palsy

Here the Cover-Uncover test unmasks subtle right CN VI palsy.
Cover - Uncover Test ... Cover-Uncover test ... clinical #video #neurology ... #ophthalmology ... #ocular #physicalexam