11 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... abnormal extraocular movements ... dissociation • Other causes ... #PhysicalExam # ... neurology #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Disorders • CN Ill ... Skew Deviation Casey ... ophthalmology #neurology ... #differential # ... diagnosis #ocular
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Diagnosis Algorithm Clinical ... • Neurologic ... a mass as the cause ... large/unreactive pupil
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... Clinical confirmation ... #anisocoria #clinical ... ophthalmology #physicalexam ... #neurology
Marcus-Gunn Pupil - Pupillary dilation in response to light on the left eye and a preserved
response 22-year-old ... Pupillary #reflex #clinical ... #video #ocular ... #neurology #ophthalmology ... tuberous #sclerosis #physicalexam
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
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
Optica (NMO) - Clinical ... , ranging from mild ... desaturation, Scotoma, Ocular ... /pain upon eye movement ... Manifestations #diagnosis #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
This 28 year old ... (no horizontal movement ... The most common causes ... Half #Syndrome #PhysicalExam ... ophthalmology #neurology
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
causes downbeat ... Downbeat #Nystagmus #PhysicalExam ... #clinical #video ... #ocular #ophthalmology ... #neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... acetate to help with ocular ... Ophthalmicus #HZO #clinical ... ophthalmology #physicalexam ... #neurology