44 results
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
Diagnosis: Congenital ... Cooper Neurology ... Congenital #Nystagmus #PhysicalExam ... clinical #video #neurology ... #ophthalmology
Abnormal Doll's Eye (Oculocephalic) Reflex on Physical Examination

Normally, a patient's eyes should move in the opposite
patient's eyes should ... Oculocephalic #Reflex #PhysicalExam ... clinical #video #neurology ... #ophthalmology
Hordeolum vs Chalazion

Hordeolum (Stye):
 • Location: Most commonly found at or near an eyelash follicle
 •
of the lids • Symptoms ... or Zeiss) • Symptoms ... #Clinical #Diagnosis ... #Management #Ophthalmology ... Stye #Chalazion #Comparison
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Robertson #Pupil #neurology ... #diagnosis #ophthalmology ... #physicalexam
Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 • Disease fatal in 10% of
exertion • Neurologic ... dysrhythmias • Ophthalmologic ... #Sarcoidosis #Diagnosis ... #Symptoms #Signs
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
TylerLarsenMD #HINTS #physicalexam ... Peripheral #Vertigo #diagnosis ... #neurology #bppv ... #comparison #table
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
insufficiency (VBI) - Should ... with significant neurologic ... attacks with varying neurologic ... #differential #diagnosis ... #neurology
Positive Seidel test on fluorescein stain exam

Globe rupture can be identified by a positive Seidel test
in making the diagnosis ... Globe rupture should ... #fluorescein #Ophthalmology ... #PhysicalExam #
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
females Differential Diagnosis ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
• Frequency of symptoms ... • Frequency of symptoms ... Hallpike test: Symptoms ... Labyrinthitis #diagnosis ... #neurology #comparison