Thank you for your participation!
Your Score is: / 50
Correct List of Differential Diagnoses: / 30
Correct Order of Differential Diagnoses: / 20
Our Differential:
Your Differential:
Our Diagnosis:
Primary Determinant:
Exam Results
Exam:
On exam, during the episode the vision was bare light perception OD and 20/20 OS.
There was a rather large relative afferent pupil defect in the right eye.
Ocular motility was normal.
Intraocular pressure was 26 mm Hg OD and 15 mmHg OS.
A few minutes later, vision returned to 20/20 in the right eye and there was no RAPD.Dilated fundus exam revealed a normal retina and optic nerve.
Preparation Planning : Case Review #31921378
Malmö, Sweden
October 2023
Assignment Instructions
Purpose
The purpose of this assignment is to work through one case at a time of a patient presenting with Transient Visual Loss. The differential diagnosis you provide will be graded and the score reported anonymously to the instructor. The goal of this exercise is to enhance classroom discussion and your answers may be presented in the class as talking points.
How to Complete the Assignment
The assignment requires you to investigate the patient history and additional patient results to determine a differential diagnosis. The elements of the history can be requested in any order you think is appropriate. You will be required to select each element of the history you think is most relevant to the patient’s chief complaint in a step-by-step manner, then you will be given the patient history for your inquiry, and then you will then reorder the Ranked Diagnosis elimating possbilities by clicking the trash can You will then repeat the process to determine other parts of the history that you think are the most relevant, until you are ready to submit your refined differential diagnosis of probable entities, ranked in order of their likelihood. You may enter your differential diagnosis at any time by clicking the "Differential Diagnosis" button. Once the diagnosis is submitted the assignment is complete and no further action is required until attending the lecture, where each case will be discussed as a group interaction.
Scoring
- The Student begins with a maximum 50 points
- 30 points are awarded for having all CORRECT Diagnoses present in your Differential
- Points will be deducted for selecting an incorrect diagnosis
- 20 points are awarded for having all Diagnoses in the CORRECT order of most to least likely
- Points are awarded for having each Diagnosis the CORRECT order
After the Lecture
You will be provided with a link to review the suggested way to work through the case along with keys points for evaluating each piece of the information from the patient history.
Case Review #31921378
Patient Presentation
A 26-year-old male was taken to the emergency room after being involved in a motor vehicle accident with subsequent transient visual loss.
Click on the Cards Below to Learn More
Bilateral vs Unilateral
Bilateral vs Unilateral
Unilateral
Duration
Duration
A few minutes per episode, episodes about 10 minutes apart.
Activity during the episode
Activity during the episode
during wretching(reverse movement of the stomach and esophagus without vomiting) in ER
Pattern of visual loss
Pattern of visual loss
Negative phenomena, Complete black out of vision in right eye only
Other Symptoms
Other Symptoms
Motor vehicle accident, currently nauseated
Current Medication
Current Medication
No medications
How to "Score" Point
- The Student begins with a maximum 50 points
- 30 points are awarded for having all CORRECT Diagnoses present in your Differential
- Points will be deducted for selecting an incorrect diagnosis
- 20 points are awarded for having all Diagnoses in the CORRECT order of most to least likely
- Points are awarded for having each Diagnosis the CORRECT order
Patient Presentation
A 26-year-old male was taken to the emergency room after being involved in a motor vehicle accident with subsequent transient visual loss.
Click on the Cards Below to Learn More
Bilateral vs Unilateral
Bilateral vs Unilateral
Unilateral
Duration
Duration
A few minutes per episode, episodes about 10 minutes apart.
Activity during the episode
Activity during the episode
during wretching(reverse movement of the stomach and esophagus without vomiting) in ER
Pattern of visual loss
Pattern of visual loss
Negative phenomena, Complete black out of vision in right eye only
Other Symptoms
Other Symptoms
Motor vehicle accident, currently nauseated
Current Medication
Current Medication
No medications
How to "Score" Point
- The Student begins with a maximum 50 points
- 30 points are awarded for having all CORRECT Diagnoses present in your Differential
- Points will be deducted for selecting an incorrect diagnosis
- 20 points are awarded for having all Diagnoses in the CORRECT order of most to least likely
- Points are awarded for having each Diagnosis the CORRECT order