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.
Anisocoria Evaluation ... If anisocoria iS ... - Horner's Syndrome ... - CN III Palsy ... Differential #Diagnosis #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: β€’ CN Ill Palsy ... β€’ Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
Right Oculomotor (CNIII) Palsy caused by Stroke

Dr. Bruno Farnetano @bruno.farnetano

#Oculomotor #CNIII #Palsy #clinical #video #CN3 #clinical
Oculomotor (CNIII) Palsy ... #clinical #video ... #CN3 #clinical ... #video #neurology ... #physicalexam #ophthalmology
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Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
Oculomotor) Nerve Palsy ... Trochlear) Nerve palsy ... One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 β€’ Intraorbital meningioma 
 β€’ Pituitary adenoma
for the neuro-ophthalmologic ... Microvascular disease Infectious ... sinusitis (CN VI palsy ... Miller-Fisher syndrome ... Diagnosis #Causes #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Clinical confirmation ... oculomotor nerve palsy ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
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Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
or induced by treatment ... #clinical #video ... #ophthalmology ... #physicalexam #neurology ... #Anisocoria
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Simultagnosia on Physical Exam (Balint Syndrome)

The patient can recognize objects one at a time but cannot
Physical Exam (Balint Syndrome ... Simultagnosia #Balint #Syndrome ... #PhysicalExam #clinical ... #video #neurology ... #ophthalmology
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Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 β€’ Disease fatal in 10% of
inflammatory cells) Clinical ... exertion β€’ Neurologic ... : Bell's palsy, ... dysrhythmias β€’ Ophthalmologic
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... patient presented to clinic ... with a right gaze palsy ... #video #ophthalmology ... #neurology
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