Painful eyes with normal exam

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DDX

Ocular Ischemia: 2/2 carotid dz, carotid bruits, retinal hemorrhages, give ASA

Optic Neuritis: APD, reduced color vision

Temporal Arteritis:check esr/crp

Sinusitis

Neuralgia: shingles

Migraine

DM: CN 3/4/6 palsy


    • CN 3 palsy: dilated pupil, ptosis (droopy eyelid) w/ HA, must consider cerebral aneurysm


Source

Adapted from Pani

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