Ocular history and exam

Question 1

State three red flags in ocular history

Answer 1

floaters/flashing lights
haloes
headaches- temporal, jaw claudication, worse with bending
repeated transient visual loss

Question 2

How to assess cornea?

Answer 2

slit lamp

Question 3

Horner’s syndrome can be a feature of which life threatening condition?

Answer 3

carotid dissection

Question 4

If acute loss of vision in one eye, will it be oph or neuro?

Answer 4

oph
both eyes would be neuro

Question 5

Differential for transient vision loss?

Answer 5

amurosis fugax

Question 6

List three life threatening ocular presentations

Answer 6

post cerebral aneurysm
papilloedema
Orbital cellulitis- cavernosus sinus thrombosis
3rd nerve palsy
Horner’s syndrome- carotid dissection
Malignant hyperthermia

Question 7

What is malignant hyperthermia?

Answer 7

Malignant hyperthermia is a severe reaction to certain drugs used for anesthesia. This severe reaction typically includes a dangerously high body temperature, rigid muscles or spasms, a rapid heart rate, and other symptoms.

Question 8

What are the features of malignant hyperthermia

Answer 8

hyperthermia to marked degree, tachycardia, tachypnea, increased carbon dioxide production, increased oxygen consumption, acidosis, muscle rigidity, and rhabdomyolysis,