Kamsi
Forum Guru
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Posts: 347
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A 42-year-old woman comes to the emergency department complaining of double vision. She
has a long history of diabetes and occasionally suffers from blurred vision when
hyperglycemic. She reports being unable to keep her right eye open, a new problem that
developed over the last 24 hours. Past medical history is significant for poorly controlled
diabetes, diagnosed 2 years ago, and migraine headaches, which have been particularly
severe for the past 2 days. Family medical history is significant for diabetes, renal failure, and
heart disease. Examination reveals a droopy right eyelid and an inability to elevate, adduct,
and depress the right eye. The right pupil also appears dilated compared with the left pupil.
The left pupil shows no motility defects. Vision is 20/30 OD and 20/25 OS. Which of the
following is the most likely cause of her visual complaints?
A Cavernous sinus thrombosis
B. Diabetic microvascular infarct
C. Hyperglycemia
D. Intracranial aneurysm
E. Ophthalmic migraine
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| Mars-Aris
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D. Next Step : MRA
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determination...& passion
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| aaroho
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?E
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Life is wonderful when doctors all around
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| Kamsi
Forum Guru
Topics: 103
Posts: 347
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D is d ans
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