Can you diagnose these conditions characterised by the presence of an abnormal optic disc appearance? Can you provide ED management for these conditions?
A 50 year-old man presents with 'a curtain coming down across his vision', preceded by 'flashes and floaters'. What is the diagnosis and management?
A woman presents with decreased vision and an aching pain in her right eye. She now has a headache and starts to vomit. What is the diagnosis and treatment?
A 14 year-old boy is brought into the emergency department by his weary mother. She is worried about bleeding under the surface of his eye. Now what?
An elderly woman presents to the emergency department with a 3 to 4 day history of a painful rash on her face. zoster ophthalmicus
aka Ophthalmology Befuddler 005 A man presents with a diffusely red eye and a problem with his eyelids. You resist the urge to send out a ‘Trauma Call‘ and start wracking your brains for everything you know about eyelid disorders.…
The nurse half chuckles and shakes her head as she hands you the next chart. It seems your next patient's main problem is that he can't stop blinking!
A 28 year-old man presents to the emergency department with a lump on his eyelid. He's getting married in 2 weeks. What are you going to do about it?
Things are humming along nicely in the ‘Fast track’ area of the emergency department. You check the triage note of the next patient – RED EYE is written capitals.
A medical student on your team asks you to review an 81 year-old female who speaks little English. She was BIBA to the ED following a fall. Her nursing home transfer sheet says that the fall was witnessed: she tripped and there was no loss of consciousness. The student is concerned that the patient’s right pupil is fixed and slightly dilated in the presence of facial abrasions. Facial views have been ordered.
Graves Ophthalmopathy: constellation of findings, apparent in 25-50% of patients with Graves disease. Robert Graves 1835
Graves disease: Autoimmune disease that affects the thyroid. A form of hyperthyroidism manifesting the triad of goitre, exophthalmos and pretibial myxoedema.