Painful eyes with normal exam

Revision as of 13:19, 29 March 2011 by Rossdonaldson1 (talk | contribs)

DDX

  1. Ocular Ischemia: 2/2 carotid dz, carotid bruits, retinal hemorrhages, give ASA
  2. Optic Neuritis: APD, reduced color vision
  3. Temporal Arteritis:check esr/crp
  4. Sinusitis
  5. Neuralgia: shingles
  6. Migraine
  7. DM: CN 3/4/6 palsy

^CN 3 palsy: dilated pupil, ptosis (droopy eyelid) w/ HA, must consider cerebral aneurysm

Source

Adapted from Pani

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