A 59-Year-Old Man Comes to the Emergency Department with Diplopia

question 750

Multiple Choice

A 59-year-old man comes to the emergency department with diplopia that started several hours ago.  His past medical history is significant for long-standing diabetes with poor glycemic control, right-knee osteoarthritis, and peptic ulcer disease.  Physical examination shows right-sided ptosis with the right pupil in the inferolateral position.  Pupils are equal in size and reactive to light bilaterally.  This patient's condition is most likely due to which of the following etiologies?

• A)Nerve compression
• B)Nerve inflammation
• C)Nerve ischemia
• D)Lacunar stroke
• E)Muscle infiltration

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Definitions:

Participative

Participative refers to a style or approach that involves taking into account or involving input from all those who are affected by or have an interest in a particular decision or policy.

Rephrasing

The act of expressing the same idea or message in different words, often used to clarify or emphasize sales points.

Direct

A straightforward approach or method of communication or action without any intermediary steps or processes.

First Impressions

The initial opinion or feeling formed about someone or something based on appearance or initial interaction.