Question 11 of 14
(demo test)
Product Demo for Part II Questions
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Sample Case Description
Expand/collapse the case description and media
Demographics
64 year old white male
Chief complaint
Double vision
History of present illness
Character/signs/symptoms: Diagonally displaced double vision
Location: Left eye
Severity: Moderate
Nature of onset: Acute
Duration: 1 week
Frequency: Constant
Exacerbations/remissions: None
Relationship to activity or function: None
Accompanying signs/symptoms: Blurred vision
Secondary complaints/symptoms
Normal
Patient ocular history
Myopia OU
Family ocular history
Normal
Patient medical history
Normal
Medications taken by patient
None
Patient allergy history
NKDA
Family medical history
HTN (both parents)
Review of systems
Constitutional/general health: Normal
Ear/nose/throat: Normal
Cardiovascular: Normal
Pulmonary: Normal
Dermatological: Normal
Gastrointestinal: Normal
Genitourinary: Normal
Musculoskeletal: Normal
Neuropsychiatric: Normal
Endocrine: Normal
Hematologic: Normal
Immunologic: Normal
Mental status
Orientation: Normal
Mood: Normal
Affect: Normal
Clinical findings
Habitual spectacle Rx:
VA Distance
OD: -6.00 sph
20/20
OS: -5.50 -0.75 x 178
20/60 (doubled)
Pupils: Normal
EOMs: Normal
Confrontation fields: Normal
Subjective refraction:
VA Distance
VA Near
OD: -6.00 sph
20/20
20/20
OS: No improvement with refraction
Slit lamp:
All normal in OD, see image for OS
IOPs: 15 mmHg OD, 16 mmHg OS
Fundus OD:
C/D: 0.3
macula: Normal
posterior pole: Normal
periphery: Normal
Fundus OS:
C/D: 0.3
macula: Normal
posterior pole: Normal
periphery: Normal
Blood pressure: 120/75
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Image courtesy of http://retinagallery.com/displayimage.php?album=338&pid=3679#top_display_media -
Image courtesy of http://retinagallery.com/displayimage.php?album=338&pid=3679#top_display_media
Sample Case Question 1 of 4
Given this patient's symptoms and the image, what is causing this patient's double vision? -
