Page 111 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
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Neurology

               Rubrik                                                                                            e


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                                                             Blindness





                                     Central                                           Peripheral
                                    blindness                                          blindness
                                  (normal direct                                      (no/reduced
                                  pupillary light                                    pupillary light
                                     reflex)                                            reflex)




                                     Lesion                            Lesion           Lesion           Lesion
                                   in cerebrum                      in optic chiasm  in optic nerve      in eye




                        Bilateral               Unilateral          – Neoplasia      – Optic neuritis  – Progressive
                        central                  central            – Meningo-       – Neoplasia       retinal
                       blindness                blindness            encephalitis    – Meningo-        degeneration
                                                                                      encephalitis    – Hypertensive
                                                                                                       retinopathy
                 – Hydrocephalus          – Neoplasia                                                 – Retinal
                 – Meningoencephalitis    – Meningoencephalitis                                        detachment
                 – Trauma                 – Haemorrhage                                               – Glaucoma
                 – Metabolic cause        – Infarction                                                – Sudden
                   (e.g. hepatic          – Trauma                                                     acquired
                   encephalopathy,                                                                     retinal
                   hypoglycaemia)                                                                      degeneration
                 – Cerebral oedema                                                                    – Other eye
                 – Postictal                                                                           diseases
                 – Seizures
































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