A 25-year-old male without significant past medical history presented to the emergency department with severe bilateral eye pain, as well as associated “gritty” feeling in his eyes. At the onset of symptoms, he also had photophobia and tearing...
Read MoreA 32-year-old male presents to the emergency department (ED) with a chief complaint of eye pain after his toddler accidentally struck him in the eye while playing excitedly with a plastic toy set…
Read MoreA 75-year-old-female with a past medical history of dementia, diaphragm dysfunction, OSA on CPAP, presents to the Emergency Department for a fall. She is not on any blood thinning medications. Patient was found in the basement by her husband who believes she tripped over her oxygen tubing…
Read MoreA 20-year-old female presents to the emergency department (ED) with a chief complaint of a headache. Her headache started 8 days ago and is described as bifrontal. It is positional and gets worse when she bends forward but improves when she is sitting or standing. She had presented to 3 other EDs prior to this visit for her symptoms, and each time she was discharged with an intractable headache after receiving a migraine cocktail to no effect…
Read More…3 days of floaters and “lightning bolt” white flashes in the temporal field of her right eye in the absence of eye trauma. She also reported right periorbital pain. She did not have blurry vision, diplopia, loss of vision, scalp tenderness, jaw claudication, fevers, chills, or weight loss. She denied photophobia despite wearing sunglasses in the Emergency Department. Her mother had died from choroidal melanoma, but the patient had not seen an ophthalmologist in 15 years.
Her uncorrected visual acuities were 20/60 OD and 20/40 OS. Intraocular pressure, pupillary reaction, and extraocular movements were normal. Point of care ultrasound (POCUS) revealed three hyperechoic, solid lesions with posterior acoustic shadowing in her right eye….
Read More
