Case 1: Physical Exam

Case 1 Index

Physical Exam: 

VA: Hand Motions at 1 foot OU (cannot see big “E” which = 20/400)
EOM: full
Confrontation Visual Fields (CVF): full OU
Pupils: PERLLA
External exam: lids WNL, conjunctiva quiet, cornea clear, anterior chamber formed, iris flat

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Fundoscopy: absent red reflex no view to posterior pole

What’s at the top of your differential diagnosis? Choose 3 before moving on!
Diabetic retinopathy, in the setting of steroid use
Hypertensive retinopathy
Central retinal vein occlusion
Central retinal artery occlusion
Refractive error
Retinal detachment
Vitreous hemorrhage

Click here to move on!

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