Anisocoria 👁️ in the face of head trauma should immediately shift your exam into neuro mode. Unequal pupils are more than an ocular finding — they can be an early indicator of rising intracranial pressure, intracranial hemorrhage, brain herniation, or cranial nerve dysfunction (especially CN III). In trauma patients, your pupil exam is fast, repeatable, and invaluable. 🚨 In patients with head trauma, document: • Pupil size (in mm) and symmetry • Direct and consensual PLRs • Mentation changes •
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Anisocoria 👁️ in the face of head trauma should immediately shift your exam into neuro mode. Unequal pupils are more than an ocular finding — they can be an early indicator of rising intracranial pressure, intracranial hemorrhage, brain herniation, or cranial nerve dysfunction (especially CN III). In trauma patients, your pupil exam is fast, repeatable, and invaluable. 🚨 In patients with head trauma, document: • Pupil size (in mm) and symmetry • Direct and consensual PLRs • Mentation changes •
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