A 55-year-old woman complains of painful double vision. - TopicsExpress

A 55-year-old woman complains of painful double vision. Examination shows her right pupil is 7 mm with sluggish reaction, her left pupil is 4 mm and briskly constricts. There is 3 mm ptosis of the right lid. She cannot adduct her right eye when asked to do so. You should now: a. Tell the patient she has Horner syndrome and needs evaluation of her carotid artery. b. Arrange emergent evaluation for possible aneursymal compression, as she has a pupil-involved third nerve palsy. c. Place pilocarpine drops in her right eye, as this is probably a pharmacologically dilated pupil. d. Administer a serotonergic (5HT) triptan, as this is almost certainly a migraine variant. e. Place a dilating drop in her eyes and perform direct ophthalmoscopy to confirm your suspicion of retinal tear involving the fovea

Beautiful, inspiring, dynamic exhibit last night, FROM FIRE by

Opinion: For the first time, a court has ruled on the activities

Well put! The movie American Sniper is pure propaganda and America

Until such time as those in the decision making position accept

Dont leave istighfar: A man once came to al-Hasan al-Basri and

Advantus White Standard Size Panel Wall Clips for Fabric Panels 20

NEXT LEVEL X IS LIVE !! Be sure to join our Facebook Group >

I know its late but if I dont post now Ill forget. Despite a

পাকিস্তান অলআউট ৯৯ রান

Jumhūriyyah is the word for republic in the Arabic

Rare and limited opportunity to invest in a 5-year old established

If my girlfriend told me she was on her period and she had belly

Leve vento leve E...no sentido do vento me entregarei... Sem