The mnemonic
PAM
What each word stands for
- PPtosis (partial, from Muller's muscle)
- AAnhidrosis on the affected side
- MMiosis
Why it matters clinically
Points to a sympathetic lesion, for example Pancoast tumour or carotid dissection.
Where it stops being reliable
Misses enophthalmos and heterochromia in congenital cases.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.