US1: to BV

History of Present Illness:

A man in his mid 30’s presents to the ER with 24 hours of gradual but severe painless vision loss in his left eye.  He said it is going black.  He denies flashes or floaters but that eye has always had very blurring vision since getting a scissors to the left eye when he was a kid.  He denies other complaints

Vital Signs & Physical Exam:

Cornea irregular but not cloudy.  Visual acuity finger counting in left eye

Initial Diagnostic Testing:

  • Imaging: POCUS of left eye

What is the diagnosis?

  • A) glaucoma
  • B) retinal detachment
  • C) CRAO
  • D) CRVO

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What is the most likely diagnosis?

  • A) glaucoma
  • B) retinal detachment
  • C) CRAO
  • D) CRVO

 

1-Minute Consult on this topic: Click HERE and scroll to proper page

 

CASE CONCLUSION: went to OR with a retinal specialist

CASE LESSONS: POCUS can expedite the diagnosis in many diseases.  Know which ones they are