Presenting Resident Nicholas Mota, DO PGY3 Chief Complaint Double vision Brief HPI 30-year-old male with no past medical history presented with acute onset left ocular pain and double vision x1d. Patient states that last night he turned off the light and had immediate symptoms. Patient denies using glasses or contact lenses. Patient has never felt …
It’s difficult to miss a raging STEMI or a CVA with unilateral flaccid paralysis, but there are other, less-sexy diagnoses that we have the opportunity to make in the Emergency Department that can be as important and impactful to the patient’s health. Endophthalmitis is a difficult word to spell and equally as difficult to diagnose if you’re not …
Always screen patient for an Afferent Pupillary Defect (APD)! A negative Seidel Test does not rule out a Globe rupture Avoid NSAIDS and aspirin in Hyphemas and Globe Rupture CT Scan of the Orbit is only 56-68% sensitive for identifying a Globe Rupture, so don’t solely rely on it for the diagnosis! Order a Sickle …