23 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Syphilis (light-near ... Midbrain (Parinaud's Syndrome ... #Differential #Diagnosis ... Algorithm #Causes #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Holmes-Adie Syndrome ... females Differential Diagnosis ... #PhysicalExam # ... neurology #ophthalmology
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson Pupil ... - Light-near dissociation ... #neurology #diagnosis ... #ophthalmology ... #physicalexam
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
Physical Exam 53-year-old ... the ankle jerk reflex ... evaluation confirmed a diagnosis ... a deep-tendon reflex ... #PhysicalExam #
Argyll Robertson (AR) Pupils - “Accommodate but do no React” 

- Pupils constrict on a near
constrict on a near ... (accommodation reflex ... to light (light reflex ... React #Prostitute #ophthalmology ... #Diagnosis #Neurology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... accommodation (i.e., light-near ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology #syndrome
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 ... #Diagnosis #PhysicalExam ... #Ophthalmology
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... • Light-near dissociation ... (tectal pupils) ... "setting sun" sign ... #neurology #diagnosis
Marcus-Gunn Pupil - Pupillary dilation in response to light on the left eye and a preserved
Marcus-Gunn Pupil ... consensual response 22-year-old ... #Pupillary #reflex ... ocular #neurology #ophthalmology ... tuberous #sclerosis #physicalexam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Pupils: • Anisocoria ... • Examine for signs ... If ok with ICU team ... caseyalbin #PhysicalExam