adamport.blogg.se - Pinpoint eyes

#Pinpoint eyes professional#

He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE. He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health.

#Pinpoint eyes 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)