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Spot Diagnosis - Eyes

Discussion in 'Spot Diagnosis' started by neo_star, Jan 5, 2013.

  1. neo_star

    neo_star Moderator

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    opthalmology_zps0d10c6ca.jpg

    The patient was asked to look straight ahead during examination. What's wrong with his eyes ?
     

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  2. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Oculomotorius nerve palsy. (n.III.)
     

  3. dr.angela

    dr.angela Bronze Member

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    Occullomotor nerve palsy
     

  4. dupuytren

    dupuytren Bronze Member

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    Oculomotor nerve palsy
     

  5. Aman Setiya

    Aman Setiya Bronze Member

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    3rd cranial nerve palsy...
     

  6. neo_star

    neo_star Moderator

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    Ans : Occulomotor nerve palsy on right side

    There is ptosis and the eyes are deviated outwards and downwards - the typical 'down and out' appearance due to unopposed axn by lat. rectus and sup. oblique.

    Also note, the right eye pupil is blown - so an aneurysm of the post. communicating system should be ruled out as the parasym. fibers travel on the surface of CN 3 and are easily pinched by an aneurysm.

    [​IMG]
     

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