Diplopia

By Dr Peter Kas | 06/11/2019 |

A patient presenting to the Emergency Department with diplopia can be a diagnostic challenge. Which patients need urgent imaging and which patients can be referred to outpatients? What is the imaging of choice? A recommended approach is shown below(1): As a summary: If it’s Binocular PLUS any of the abnormalities below, perform a CT brain…

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The Patient with Diplopia

By Dr Peter Kas | 14/01/2019 |

A 58 yo male presents to the emergency department with an 8 hour history of diplopia. He has no past medical history, has no allergies and is on no medications. He denies any recent illness or trauma. Recently a great journal article was brought to my attention and I thought everyone should hear about it.…

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Headache and a near miss case of Temporal Arteritis

By Dr Peter Kas | 25/11/2017 |

Temporal Arteritis also known as Giant Cell Arteritis, affects the medium and large arteries and is a vasculopathy. The greatest risk, if not treated, is irreversible loss of vision. It is a medical emergency. CASE A 79 year old woman has been sent in by her GP, complaining of unbearable, intractable headache for the past…

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