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Old 08-18-2010
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Eye Chest Pain and Eye Pain!

A 65 year old African American woman is brought in the ER with acute chest pain. She also complains of perspiration, nausea & lightheadedness. Her B.P is 90/60 mm Hg & her hear rate is 42 beats/min. An ECG shows ST segment elevation in the inferior leads.
After initial treatment her BP is 120/70 mm Hg & her heart rate is 76 per minute. She now complains of severe right sided eye pain, What is the most likely eye problem in this patient?
  • A. Iridocyclitis
  • B. Retinal Artery thrombosis
  • C. Retinal Detachment
  • D. Vitreous hemorrhage
  • E. Cataract
  • F. Glaucoma
  • G. Retinal vein thrombosis
  • H. Acute Conjunctivitis
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Old 08-18-2010
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Default F.

Inferior lead - RT coronary block which also supply SA node --> sinus bradycardia which we treat with atropin.
--> pupils dilatation and narrow the angle for the canal of Schlemm. Acute narrow angle glaucoma.
African Americans are at higher risk of Glaucoma.
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Cardiovascular-, Pathology-, Step-1-Questions

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