The pupillary light and near responses are under parasympathetic innervation. Meaningful interpretation of pupillary findings requires a solid working knowledge of the anatomy of the light reflex and the autonomic innervation of pupillary responses. This article addresses the more commonly encountered pupil disorders and how clinicians can detect them through routine pupil testing. With careful clinical examination, this test can aid in the diagnosis and management of many of these conditions at the primary care level. i do believe karma happens, not now, not today, but there are many other spare days.Pupil testing can reveal serious retinal and neuro-ophthalmic disease and therefore should be incorporated into every comprehensive eye examination. but will it destroy their being if they just for a while listen to our part and be human at least for a ti biag ti estudyante. what more?they have ruined our weeks of hard work after their arrogant suggestions, and stupid questions targetted us during the defense. its so frustrating, my ego swelled actually, my self esteem is at its lowest peak. but that boastful panels of ours didn't knew the meaning of the word respect. i may have accepted the fact that we are just students and they are our professors who ought to be respected, we are just students who are on the bottom of the food chain. >at exactly 2:35 pm yesterday our case presentation started at room7001.Īs usual, we have presented the clinical case to 2 panels(they were not the original, but due to some constraints, they have do proxy to our original panels).Īfter the oral presentation, here goes their dehumanizing questions, violent reactions, and criticisms. Hayy.God is still Good.thank's.hope tatay's condition would really get well, sana makita pa niya ako with my license, with my degree, with my diploma,i still hope to buy my lolo and lola some presents with my own salary and money, i still hope that i will be their attending physician when they get ill in the future. likewise, worrying would just lead me to nowhere, i'm in Baguio and my lolo is in Mindoro, so what now?ġ1 00 am >i texted again my mom, and said, "I'll have to catch a flight tomorrow to san jose ma, aausin ko lang ang sked ko, duty at ung mga requirements ko", then mama answered me back "kakapagod ang biyahe anak, just pray na lang,tatay's condition is improving,d resident just suctioned his secretions" and then my tito's, tita's and papa even falsified my thought to go to mindoro, and insisted that lolo's condition is improving. i just didn't knew what to do.,i am distorted, apathetic, i'm totally point blank.Īt exactly 8:30 am, i went to school and proceeded directly to the library, i didn't even bothered to pass by the nearby cafeteria to eat my breakfast, it will be my place to cope and distract my self with books so I won't be able to think of my lolo who is in the ICU now(but still, my tears laid weight on my eyes, and i failed to hide my emotion, i cried). my class is 11:45, but it is still very early to go. That conversation has been enough to wake me up of my bed and take a bath. Mama:oo anak, pero napaka unstable ng v/s, he is totally in distress, daming plema, d pa naman ma i suction kasi d pa xa stable. Me:ah.ok,d ba siya makausap ma?me malay naman ba si tatay? Ma:di na cguru anak,baka di niya kayanin, c dr.asuncion ang doctor niya ngayon Me:ha?kala ko discharge na xa kahapon.cnung attending physician nya ngayon?d ba xa airlift ng manila? I was still sleeping this morning when i received a txt msg.
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