Author: Amy Knowles / Editor: Nick Tilbury / Codes: OptC1, OptP3, OptP4, SLO1 / Published: 28/01/2021
A 26-year-old woman presents to the ED with a 3-hour history of what she describes as “the worst hangover of my entire life”. Her symptoms are a severe left sided frontal headache. She is persistently vomiting in the ED and asks if she can lie down in a dark room whilst she waits for assessment.
She presents following a binge on alcohol and MDMA. She also admits to smoking cannabis a few hours before her symptoms started. She has a past medical history of migraines.
On examination she is vomiting profusely. She is pale, sweaty and extremely distressed. She is GCS 15/15 and her observations are all within normal limits.
You proceed to a neurology examination and are surprised to find the patient’s left pupil is 6mm and does not react to light, her right pupil is normal. Her visual acuity is right eye 6/9, left eye 6/18. The sclera of her left eye is much redder than her right. There are no other abnormalities with her examination.
Module Content
Corneal Injuries
Eye injuries are a worldwide cause of visual morbidity and account for approximately half of all ophthalmological attendances to Emergency Departments
Initial Assessment of the Eye
Eye problems account for approximately 6% of all attendances to an Emergency Department (ED) in the UK
Atraumatic Red Eye
This session identifies the clinical features of the different types of conjunctivitis and describes appropriate investigation and management.
8 Comments
interesting case, reminder to ask about illicit drug use.
regarding Questions there is more than answer
Useful Info
I like the 2% and 4% part
good learning from this clinical case
Interesting and educative.
Very good session
very useful