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5 Things you Must do when Patients Present with Syncope

Patients who present to the emergency department following a syncopal episode can be a diagnostic challenge to us....

Can you diagnose the cause of DIPLOPIA? Take the test.

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Created by Dr Peter Kas

Can you Diagnose the Cause of DIPLOPIA?

A 58 yo male presents to the emergency department with a complaint of "Doc I'm seeing double"
Try these 8 questions.

1 / 8

If you think that the patient has MONOCULAR DIPLOPIA

2 / 8

In terms of BINOCULAR DIPLOPIA, which of the following is correct?

3 / 8

Which cranial nerve is affected here?

Source: October 2011Case Reports in Neurology 3(3):248-51

4 / 8

Which cranial nerve is affected here?

Source: September 2006Comprehensive ophthalmology update 7(5):215-21; discussion 223-4

5 / 8

Look at the following image. Which Cranial Nerve is involved?

Source: Oman J Ophthalmol. 2014 May-Aug; 7(2): 103–104

6 / 8

In the following image, when would you expect diplopia to occur?

Source: September 2006Comprehensive ophthalmology update 7(5):215-21; discussion 223-4

7 / 8

Multiple cranial nerve abnormalities and any headache require an urgent CT brain looking for:( 2 correct answers)

8 / 8

Cranial Nerve III paralysis can be complete or incomplete.
In terms of clinical findings in CN III paralysis, which of the following is true?(3 correct answers)

Your score is

The average score is 49%

0%

Read the Blog on Diplopia.

Cardioversion in Pregnancy: Is it Safe?

Is cardioversion safe in the pregnant patient? A CASE A 24 yo female patient presents with palpitations and...

Paediatric Resuscitation

Paediatric Resuscitation is stressful. However if we remember a few small points, it makes it so much easier....

Shock Dose When Defibrillating Children

Cardiac arrest in children is certainly less frequent than in adults. However most paediatric in-hospital cardiac arrests do...

Am I ready to sit the ACEM Fellowship Exam?

This is for those Emergency Medicine registrars about to sit the ACEM Written Fellowship Exam. It's 4 weeks...

Bell’s Palsy

What is Bell's Palsy? It is an ipsilateral Cranial Nerve VII (lower motor neurone) palsy. There is usually a...

Facial Nerve Palsy examination

When examining a patient with a facial nerve palsy and we wish to determine if the lesion is...

Trigeminal Neuralgia

An excellent review article on Trigeminal Neuralgia, has just come out in the NEJM(1). Here is a quick...