A58-year-oldwomandevelopedpainlessvisuallossinherlefteyeoverseveraldays.Shedescribedthevisioninherlefteyeas“similartolookingthroughadirtyscreendoor.”Shedenieddoublevisionandeyepainbutreportedfrontalthrobbingheadachesassociatedwithnauseaovertheprecedingmonths.Twoweeksbeforepresentation,shehadseveraldaysofnauseaandvomitingthathadbeenattributedtoviralgastroenteritis.
58岁女性出现左眼无痛性失明数天。表现为“就像透过不干净的纱门”。否认视物成双和眼痛,但在病前数月有额部搏动样疼痛伴恶心。2周前,有数天的恶心和呕吐,认为是病毒性胃肠炎。
HermedicalhistoryincludedhypertensionandhypothyroidismsecondarytoablativetherapyforGravesdisease.
病史包括高血压和继发于Graves病放疗后的甲减。
Questionforconsideration:
1.Whatisthelocalizationanddifferentialdiagnosisofherdeficits?
思考问题:
1.定位和鉴别诊断?
SECTION2第二部分Monocularvisuallossmaybecausedbypathologyinthelens(e.g.,cornealulcersandabrasions),anteriorchamber(e.g.,glau白癜风专科医院哪里好北京治白癜风症最好的医院
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