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ophthalmology anisocoria clinical pupil abnormalities argyllrobertson blurry causes comatose downbeat edema encephalopathy facial horners management nystagmus posterior pres pupillary reversible
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN ... Other causes of tonic ... #Pupil #PhysicalExam
Pupillary Abnormalities Overview - Unequal Pupils (anisocoria) - Tonic pupil (Adie's pupil) - OculomotorNerve (CN
anisocoria) - Tonic ... - Homer's Syndrome ... Seen in central ... #Diagnosis #Ophthalmology ... Abnormalities #Differential
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... Adie’s tonic pupil ... anisocoria #clinical #video ... #neurology
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 Facial Swelling - Differential Diagnosis Framework for Facial Edema Infectious: • Dental abscess • Ludwig's angina • Vincent's angina • Cellulitis •
Facial Swelling - Differential ... Diagnosis Framework ... Trauma: • Ocular ... Swelling #Edema #Differential ... #Diagnosis #PhysicalExam
Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
Blurry Vision - Differential ... Diagnosis Framework ... Ocular Adverse Effects ... retinopathy • Central ... glaucoma • GCA • Adie
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Weakness - Differential ... Diagnosis Framework ... lesions of the central ... #Weakness #Differential ... #Diagnosis #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Seizures • Altered mental ... may precede the neurologic ... Reversible course Differential ... , ADEM, Acute toxic ... #neurology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... Diagnosis Framework ... affects the skin, neurologic ... Angiitis of the Central ... cognitive impairment, neurologic
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... • Vestibulo-ocular ... caseyalbin #PhysicalExam ... #neurology #comatose
Characteristic eye movements found in Downbeat Nystagmus Downbeat nystagmus (downward fast phase) is the most common of
common of the central ... The differential ... Video by Kathleen ... Ophthalmology #Neurology ... #Ocular #PhysicalExam
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