Read the finding
Ophthalmology · Pattern recognition
The pupil
5 findings. Cover the answers and work down the list — then flip it and predict the finding from the diagnosis.
Affected pupil dilates on the swinging-light testRAPD (Marcus Gunn — optic nerve)
Miosis, ptosis and anhidrosisHorner syndrome
Down-and-out eye, ptosis, fixed dilated pupilSurgical CN3 palsy (posterior communicating aneurysm)
Small pupil that accommodates but does not react to lightArgyll Robertson pupil (neurosyphilis)
Tonic dilated pupil, slow to light, in a young womanHolmes-Adie pupil