More Befuddling Pupillary Asymmetry
A man presents with a persistent cough... but you notice something wrong with his eyes. Horner syndrome, ptosis, miosis with differentials
Category LITFL
I can see clearly now
A man presents with transient monocular loss of vision. Can you make the diagnosis and manage this patient in the emergency department?
Jean-Louis Petit
Jean-Louis Petit (1674-1750) French surgeon. Inventor of the Petit-type tourniquet. First postulated that 'carpal dislocations' were distal radius fractures
The Goggle-eyed Fisherman
A fisherman presents with headache, fevers, left eye pain and swelling and visual disturbance. What is your diagnosis and how will you manage the case?
You’re blind and your hair is a mess
A man presents has sudden onset painless loss of vision and his hair is mess because it was too painful to comb. Can you diagnose and manage this condition?
Stressed and branching out
A med student is stressed out by exams and has a painful red and photophobic eye. At least her cold sores have cleared up... Herpes simplex keratitis
A Gritty Sticky Red Eye
A patient presents with sticky, gritty, red eyes. A common and easy emergency department problem, right? Conjunctivitis?
The Eye In Chemical
A 45 year-old is rushed into the emergency department by the triage nurse. He was working at a building site and got cement into his eyes. How will you assess and manage this case?
Blinded By The Light
A man has intense bilateral eye pain and refuses to open his eyes after a day of welding, surfing and lying on a sunbed. What is the diagnosis and emergency management?
Katz-Wachtel phenomenon
Katz-Wachtel phenomenon: Large biphasic QRS complexes (tall R waves + deep S waves) in V2-5. First described by Louis Nelson Katz in 1937
Pupils And Prostitutes
On examining a patient's eyes you note that the pupils are small, irregular, non-reactive to light and constrict when focused on a near object.
The Aching Red Photophobic Eye
A man has an aching red eye and both direct and consensual photophobia. Is this anterior uveitis? What is a hypopyon?