Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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 ... - Horner's Syndrome ... Anisocoria - CN III Palsy ... #Differential #Diagnosis ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... : • CN Ill Palsy ... #PhysicalExam #neurology ... #ophthalmology
CN III Palsy - Oculomotor Nerve
 • Ptosis: Loss of innervation of the levator palpebrae superior.
CN III Palsy - Oculomotor ... comparison to Horner's syndrome ... innervation to pupil ... Nerve #Cranial #neurology ... #diagnosis
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... viral or bacterial infection ... #PhysicalExam #clinical ... #video #ophthalmology ... #neurology #syndrome
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Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Oculomotor) Nerve Palsy ... One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... for the neuro-ophthalmologic ... Microvascular disease Infectious ... Miller-Fisher syndrome ... #Causes #Ophthalmology
All About Horner's Syndrome

Horner's syndrome, known as 
"oculosympathetic paresis" by people 
who don't have friends, is
About Horner's Syndrome ... Horner's syndrome ... (constricted pupil ... #Overview #Ophthalmology ... #Diagnosis #Neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... or induced by treatment ... how the right pupil ... #clinical #video ... #ophthalmology
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Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Clinical confirmation ... oculomotor nerve palsy ... #anisocoria #clinical ... #video #ophthalmology ... #physicalexam #neurology
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Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 • Disease fatal in 10% of
inflammatory cells) Clinical ... exertion • Neurologic ... : Bell's palsy, ... dysrhythmias • Ophthalmologic ... #Sarcoidosis #Diagnosis