Play Doctor My Eyes by Jackson Browne
© 1999, 2000, Mounir Bashour
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Play Doctor My Eyes by Jackson Browne© 1999, 2000, Mounir Bashour
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Below with special thanks to Frank Stockl, M.D. -- if have any additions please e-mail: bashour@email.com Play Live and Let Die -- Guns N' Roses
Things that can KILL you in Ophthalmology
Optics, Visual Physiology, and Correction of Refractive ErrorsNeurophthalmology and OrbitAcute Horner’s with ipsilateral headache. Carotid dissection Pupil involved or evolving pupil sparing III. PCOMM aneurysm Amaurosis fugax Stroke or death Sudden visual loss with headache. Pituitary apoplexy vs. int carotid aneurysm Pediatric Ophthalmology and StrabismusOptic nerve hypoplasia de Morrsier syndrome with panhypopituitrism Nystagmus and the dx is Spasmus nutans, sew-saw or opsoclonus (there are others) Tumor, tumor, tumor External Eye and Adnexa/ CorneaEyelid lesions. Acanthosis nigrans >
internal malignancy Anterior Segment of the Eye/ GlaucomaNormal tension glaucoma and you missed... Compressive lesion Prescribing a beta blocker without taking a pulse first. Bradycardia and death are sure to follow Phospholine iodide and going to the OR Posterior Segment of the Eye/ RetinaPigmentary retinopathy with external ophthalmopleigia. CPEO Kearns Sayer with heart block AMPEE Rare association with cerbral vasculitis Bilateral CRVO or diabetic papillopathy. Hypertension Dx CRAO and you miss the diagnosis of... Temporal arteritis Dx of Retinitis pigmentosa simplex and you miss... Syphilitic, toxic, CAR, Bardet Biedl, Kearns-Sayer, NCL, Refsum’s or Abetalipoprotein Scleritis 50% will have associated condition. Surgery/Oculoplastics/Cataract and General categoriesOral prednisone Rx. Must rule out syphyllis or TB as etiology of inflammation first! Four medications never to give in pregnancy. Pred Forte, Antivirals, Sulfonamides, Anticholinesterase Disease you should always think about TB, syphillis, lyme, sarcoid, lymphoma Retrobulbar and the patient stops breathing or arrests and you don’t know what to do. Strabismus surgery and with tachycardia and slight temp... Malignant hyperthermia... pt dies and you lose Phospholine iodide and going to the OR Using bipolar cautery to control bleeding after enucleation
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Please note if you have any submissions for any of the sections or any useful suggestions or corrections please email: bashour@dr.com Back to RC 101 Homepage
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