USMLE Forum Archives - USMLE Step 3 - IM: Neuro, Wat to do?
IM: Neuro, Wat to do?
meduploader - 05-14-09 22:49
A 68-year-old diabetic man presents to the office for evaluation of double vision and right retro-orbital
headache. Neurologic examination reveals right ptosis. The eye is deviated laterally and inferiorly. The
right pupil is not dilated and reacts normally to light and accommodation. The patient has decreased
sensation in his feet to pin and light touch, but the rest of the examination results are normal.
Which of the following is indicated for this patient at this time?
meduploader - 05-14-09 22:49
A 68-year-old diabetic man presents to the office for evaluation of double vision and right retro-orbital
headache. Neurologic examination reveals right ptosis. The eye is deviated laterally and inferiorly. The
right pupil is not dilated and reacts normally to light and accommodation. The patient has decreased
sensation in his feet to pin and light touch, but the rest of the examination results are normal.
Which of the following is indicated for this patient at this time?
The correct answer and explanation will be available after you answer.
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#1
Re: IM: Neuro, Wat to do? zkadhem - 05-14-09 23:05 My answer is: e.
This is typical of diabetic 3rd cranial nerve neuropathy. Complete spontaneous recovery usually occurs within 3 months.
#13
Re: IM: Neuro, Wat to do? conym5 - 04-08-10 20:42 This diabetic patient has developed an isolated third-nerve palsy. The presenting symptoms are fairly typical: the sudden development of ptosis with a “down-and-out eye” and a retro-orbital headache.
#17
Re: IM: Neuro, Wat to do? sarasamy - 04-21-10 19:02 
posted by sarasamy on 04-21-10 18:00
[ANSWER a]
[ANSWER a]
#21
Re: IM: Neuro, Wat to do? babbu5508 - 09-30-10 08:27 My answer is: e.
Endocarditis prophylaxis at the dental visit next week...diabetic 3rd cranial nerve palsy...spontaneous recovery...
#32
Re: IM: Neuro, Wat to do? sudha2015 - 04-16-11 07:46 Reassurance and no further evaluation at this time
#37
Re: IM: Neuro, Wat to do? mockingbird - 06-30-11 01:04 My answer is: c.
This is pupil sparing third never palsy which is occured in Diabetic patient.
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