(Treponema pallidum pictured left)
Today we examined a patient for possible tertiary syphilis and looked specifically for an Argyll Roberston Pupil.
Accommodation Reflex: This is intact (CN II and III). There is pupillary constriction when an object is brought closer the patients face along with convergence of the eyes.
Pupillary Constriction to Light: This NOT intact (also CN II and III). When a light is shone into a patients eyes, there is no pupillary constriction.
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