Page 114 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
P. 114

Neurology                                                                                                                                                                                                                  Neurology
       e                                                                                                                                                                                                                                e
       Rubrik                                                                                                                         Rubrik


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                                                                 Miosis                                                                                                             Strabismus









                               No protrusion of the                                    Protrusion of the third
                                  third eyelid                                               eyelid                                                          Lateral                  Medial                  Ventral
                                                                                          Enophthalmus





                                                                                                                                                       – Normal in very         – Normal in Siamese
                                                                                                                                                         small breeds            cats                    Positional strabismus
             Unilateral miosis                      Bilateral miosis                    Horner's syndrome                                              – Orbital neoplasia      – Orbital neoplasia      â Vestibular disease
                                                                                                                                                       – Retrobulbar abscess    – Retrobulbar abscess          p. 98
                                                                                                                                                       – Lesion of the          – Lesion of the
                                                                                                                                                         oculomotor nerve (III)  abducens nerve (VI)



                                                                                      – Otitis media
              â Anisocoria               Metabolic/            Bilateral forebrain    – Lesion of the
                 p. 102                  toxic cause               disease              vagosympathetic trunk
                                                                                      – Lesion of the roots of
                                                                                        T1–T3 (avulsion)
                                                                                      – Thoracic lesion
                                                                                      – Cervical spinal cord
                                                                                        lesion
                                    – Hepatic                – Cerebral oedema        – CNS lesion (brainstem)
                                     encephalopathy          – Hydrocephalus          – Idiopathic Horner's
                                    – Organophosphate        – Trauma                   syndrome (common)
                                     poisoning               – Meningoencephalitis
                                    – Opioids
                                    – Other


























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