01.01.2020 - By Zack Olson, MD and Michael Estephan, MD
CAUTION: THESE NOTES CONTAIN SPOILERS!!!
Case Introduction
Just a routine day at your hospital, your next patient has a chief complaint of headache…
Initial Vitals
* Temp 98.8* HR 88* RR 16* BP 130/80* O2 99%
Critical Actions
* Identify Acute Angle Closure Glaucoma* Initiate Appropriate Treatment for Acute Angle Closure Glaucoma* Emergent Consult to Ophthalmology* Recheck Intra-Ocular Pressure After Initiating Treatment
Dangerous Actions
* Giving NSAIDS (The Patient Had This on Allergy List)* Performing a Lateral Canthotomy
Final Diagnosis
Acute Angle Closure Glaucoma
Tips and Tricks
Do not be surprised or scared when an examiner has a monotone voice and flat affect
Additional Reading
* Management of acute angle closure glaucoma (PubMed)* Basic approach to eye complaints (EM Clerkship)