A 24-year-old female presents with blurry vision and difficulty walking.
HPI: A 24-year-old woman comes into your office complaining of new onset diplopia when looking to the right and difficulty walking. She tells you that one year ago, she had an episode of blurred vision in her left eye that lasted for three weeks. The symptoms returned over the past week. This time they are accompanied by difficulty walking due to left leg weakness.
PMH: No previous history of hospitalizations or surgeries.
Family Hx: Mother has hypothyroidism. Father has HTN.
Social Hx: Does not smoke, drink, or use illicit substances.
ROS: Negative except noted above.
Temperature: 37°C (98.6°F)
HR: 67 bpm
SpO2: 98% on room air
Neuro: 20/50 OS, 20/20 OD Her direct and consensual pupillary responses are normal when a light is flashed into her right eye; however, both pupils dilate when the light is moved quickly to the left eye. Extraocular muscle testing shows decreased adduction of the left eye on right gaze, which is associated with horizontal nystagmus in the right eye. The left eye abducts normally, and the right eye adducts normally, on left gaze. Quadriceps strength is 3/5 on the right, 5/5 on the left. Patellar reflexes are 4+ on the right, 2+ on the left.
CV: Regular rate and rhythm, S1 and S2 intact, no murmurs, rubs, or gallops
Lungs: clear to auscultation bilaterally.
Copyright MedStud Memoirs.
All Rights Reserved.
Med Stud Memoirs is hosted by Brian Elliott and Sarah Halbert, students at the Sidney Kimmel Medical College at Thomas Jefferson University. To meet the rest of our staff, simply go to our about us page. As a collective group of medical students, we wanted to see where textbook medical education fits into the real world. With the help of many guests, we share experiences that help accomplish this in our biweekly medical school podcast.
As premedical, medical, and other healthcare students, it's important to know textbook knowledge in medical education and understand what it's like for patients to experience medicine. MedStud Memoirs tackles both of these in this medical school podcast. First, we'll discuss the science of specific conditions, then our best podcasts come from people who have lived with the condition or doctors who have treated it. To get a glimpse of the next condition, complete our treat the sneak peak module.