Resultado de imagen para pupila de argyll robertson
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Wow! So many things can go wrong with your vision 👁 👁 who can tell me what Marcus Gunn pupil is? How about Argyll Robertson pupil? Don't be shy 😋 #usmle #step1 #medicine #medschool #medstudent #study #motivation #studyblr #studyspo #vision #eyes #neuro
Argyll Robertson pupils - “Prostitute’s Eye” because of the association with tertiary syphilis, are bilateral small pupils that constrict when the patient focuses on a near object (they “accommodate”), but do not constrict when exposed to bright light (they do not “react”).
Late Neuro-syphillis::: tabes dorsalis + argyll Robertson pupils (normal pupil constriction with accommodation but not with light)... other conditions may present similarly (but not with the pupils)... there will be impaired vibration, sensation, and proprioception and instability of the Romberg test from involvement of the posterior columns... there may also be nerve root involvement leading to diminished pain and temperature sensation and loss of reflexes