Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
- Differential Diagnosis ... Check pupillary ... Pupil - Traumatic Iris ... #Ophthalmology ... #Pupillary #Pupils
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
females Differential Diagnosis ... dissociation β€’ Other causes ... β€’ Physiologic Anisocoria ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Persistent Pupillary Membrane (PPM) on Slit Lamp Ocular Examination

This membrane would be a remainder of the
Persistent Pupillary ... large enough to cause ... Pupil #Ocular #PhysicalExam ... clinical #video #ophthalmology ... #SlitLamp
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Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... than 3mm in this case ... control of the iris ... clinical #video #ophthalmology ... #physicalexam #
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Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria
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Persistent Pupillary Membrane (PPM) on Slit Lamp Ocular Examination

This membrane would be a remainder of the
Persistent Pupillary ... large enough to cause ... Pupil #Ocular #PhysicalExam ... clinical #video #ophthalmology ... #SlitLamp
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The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Reflexes: β€’ Pupillary ... Pupils: β€’ Anisocoria ... Casey Albin MD @ ... caseyalbin #PhysicalExam
Superior oblique myokymia 

Superior oblique myokymia causes a repetitive, high frequency intorsion of the eye, leading
oblique myokymia causes ... Satisfying to diagnose ... oblique #myokymia #Ophthalmology ... #SlitLamp #Clinical ... #physicalexam #
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Crystalline Keratopathy on Slit Lamp Examination

Slit lamp examination demonstrated scattered refractile particles within the anterior stroma.
Differential diagnosis ... and iatrogenic causes ... clinical #video #physicalexam ... #ophthalmology ... #SlitLamp
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Superior oblique myokymia 

Superior oblique myokymia causes a repetitive, high frequency intorsion of the eye, leading
oblique myokymia causes ... Satisfying to diagnose ... www.grepmed.com/images/10538/ophthalmology-physicalexam-clinical-myokymia-slitlamp-superior-oblique
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