#Pinpoint pupils and seizures professional
He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.Īfter finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. Myasthenia gravis agents* – eostigmine, physostigmine, edrophoniumAcetylcholine agonistsmuscarinic agents – pilocarpine (eye drops)*Ĭhris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne.acetylcholinesterase inhibitorsorganophosphates.atypicals (olanzepine, quetiapine, clozapine).Holmes-Adie pupils* (constrictive phase).multiple sclerosis, encephalitis, Lyme disease, pinealoma, syringobulbia, chronic alcoholism) Pseudo-Argyll Robinson pupils* (more likely to be mid-sized)Īny chronic lesion of the rostral midbrain (e.g.Small, irregular, fixed pupil with little response to atropine and acts like a prostitute – ‘accommodates but doesn’t react’… to light. neck trauma, carotid artery dissection, cluster headaches) massive thalamic or supra-thalamic lesions, lateral brainstem lesions), pre-ganglionic (e.g Pancoast tumour), post-ganglionic (e.g.
Pontine lesions (infarct or hemorrhage)Ĭlassically involves sudden collapse with coma, pinpoint pupils and a spastic tetraparesis with brisk reflexes.Īssociated acute or chronic systemic illness, spontaneous roving eye movementsĬentral (e.g.The differential diagnosis of coma with small pupils includes: Causes labeled with an asterisk* generally only cause small pupils, a coexistent cause of of coma would need to be present)
0 kommentar(er)
