Female 19 yo, Suffering from anemia megaloblastic complains | Figure 1
%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)
Deleted account
Patient Information
Female, 19 yo, suffering from anemia megaloblastic; complains of dizziness for one year. Suspected cause is cervical, and from analysis of the field of view, there are points not detected by right eye, and symptoms coincide.
RMNt
Similar Cases
Good example of Myelination of the Retinal Nerve Fibre layer (MRNF). This person had normal acuity, but testing showed a symptomatic superior relative scotoma (peripheral visual field deficit). No treatment is available or necessary, though some cases can have reduced vision, amblyopia, or strabismus. It can be mistaken for more sinister problems. Visual field defects with MRNF are typically smaller than the myelination would suggest. Hyper reflective on OCT scans.
Pigmentary dispersion syndrome in a 35ish yo CM. Transillumination defects (TIDs) visible on iris from 7:00 to 5:00 (most of clock). Sorry for pic quality, working without camera adapter. Light in the pupil will show orange areas where pigment was lost in iris. Puts patient at increased risk for glaucoma. IOP was 14 OU.
What kind of visual field would this retina produce on paper (what might look different from a normal one), assuming everything is within normal limits and nerve fibers are doing what they would in a normal eye, and why?
A 60-year-old myope with early cataracts and enlarged cup-to-disc ratios of 0.6 OU is found to have an abnormal Humphrey visual field test OS. He has no other risk factors for glaucoma. What is the most appropriate next step for this patient?
A. repeat visual fields
B. diurnal curve (serial tonometry)
C. monocular trial of latanoprost
D. laser trabeculoplasty
Question from Review of Ophthalmology, 3rd Edition. ISBN: 9780323390569. Copyright © 2018 by Elsevier, Inc.
A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.
A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.
A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.
A patient in late teens presented after a collapse, with no chest pain, no previous cardiac history, and no history of sudden death in family. Are there any features in this ECG that would warrant further work-up or is this just a pediatric ECG?