Author: Vaishnavi Menon, Varshini Manoharan, Riad Hosein / Editor: Nick Tilbury / Codes: NeuP2, NeuP7, OptC6, OptP5, SLO1 / Published: 16/02/2021
A 69-year-old lady presents with a 3-week history of right-sided headache and jaw claudication, associated with significant reduction in vision of the right eye over the last 2 days. She has no past medical history of note.
On general inspection, she has a prominent temporal artery on the right side. On palpation of the temporal artery, reduced pulsation is noted and the patient reports tenderness.
Visual acuity assessment is completed using a Snellen chart – right eye visual acuity is so reduced she is only able to count fingers and left eye visual acuity is 6/6. No abnormality is seen on external eye and anterior segment exam. On fundoscopy, the right optic disc is pale and swollen.
Module Content
Sudden Visual Loss
Sudden visual loss is a presentation one should expect and be prepared to see, as an emergency physician.
Primary Headache
Acute, severe headache is a common symptom of patients presenting to the emergency department. In 90% of cases, the cause will be one of the primary headache syndromes.
Non-traumatic Subarachnoid Haemorrhage
This session describes the management of presentations of non-traumatic subarachnoid haemorrhage in the ED.
4 Comments
Good refresher
A quick review of GCA
Great reminder thank you
intersting