81 results
Landolfi’s Sign on Physical Exam

A 73-year-old man presented with shortness of breath. On ocular exam, pupil
Physical Exam A 73-year-old ... On ocular exam, ... pupil dilation and ... dilation of the pupil ... #PhysicalExam #
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson Pupil ... small (1-2mm) pupil ... - Light-near dissociation ... #neurology #diagnosis ... ophthalmology #physicalexam
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Algorithm Relative ... Syphilis (light-near ... #Differential #Diagnosis ... #Algorithm #Causes
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... females Differential Diagnosis ... - no light-near ... #PhysicalExam # ... neurology #ophthalmology
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
object (to avoid a near ... pupil response) ... Both pupils should ... Both pupils remain ... #Diagnosis #PhysicalExam
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... Physical Exam Adie's pupil ... accommodation (i.e., light-near ... #PhysicalExam # ... ophthalmology #neurology
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
• Light-near dissociation ... (tectal pupils) ... "setting sun" sign ... Parinauds #syndrome #neurology ... #diagnosis
Setting Sun Eyes in Hydrocephalus

In this sign the eyes appear driven downward bilaterally. The inferior border
Hydrocephalus In this sign ... border of the pupil ... hydrocephalus #physicalexam ... #neurosurgery #ocular
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
- Differential Diagnosis ... Algorithm Red ... • Meningeal signs ... , mid-dilated pupil ... #Algorithm #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... slightly reduced near ... lights with light near ... ophthalmology #physicalexam ... #neurology