Download - U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart
Ophthalmology
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Title
FR, male adolescent, 18 years oldSudden loss of vision OS, Headache
Author:Ulrich SchieferTranslation:Bill Hart
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Present History
When covering his right eye, Mr R noted a veil over the left eye, and could not see a distant sail boat that was visiblewith the right eye.
Initial diagnosis: Retrobulbar optic neuritis, OSInitial treatment: Oral corticosteroid, 100 mg Qd
Rapid weight gain ensued, and Mr R now seeks analternative therapy.
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Ocular History
Unremarkable
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
General Medical History
About 6 weeks ago: Severe upper respiratory infection
with a purulent involvement of
the right maxillary sinus
Obesity
otherwise „unremarkable“
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Family History
No ophthalmic disorders
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Social History
Student
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Other History
Unknown
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Visual Acuity/Refraction (1/2)
Snellen acuity: OD 20/15OS 20/60
Refraction: Not done
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Visual Acuity/Refraction - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Color Vision (1/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Color Vision - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Ocular Alignment (1/2)
Orthophoria
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Ocular Alignment - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Stereo Acuity (1/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Stereo Acuity - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Motility (1/2)
No restriction of eye movements,
No apparent diplopia,
No pain on eye movement
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Motility - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Pupils (1/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Pupils - Assessment (2/2)
There is a relative afferent pupillary defect OS
There is a relative afferent pupillary defect OD
Both afferent and efferent pupillary functions are normal
Pupillary function cannot be evaluated, due to elevated sympathetic tonus
There is an efferent (motor) disorder of pupil function
Please mark the correct answer:
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Pharmacological Pupillary Tests (1/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Pharmacological Pupillary Tests - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Visual Field (1/3)
Diagnosis: atypical optic neuritis
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Visual Field (2/3)
Pituitary Adenoma
30° Visual Field
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Visual Field - Beurteilung (3/3)
OD: Normal
OS: Suggests a temporal hemifield loss
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Amsler Grid (1/2)
Examination not done
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Amsler Grid - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Intraocular pressures (1/2)
OD & OS: 16 mm Hg
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Intraocular pressures - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Mesoptometry (1/2)
Examination not done
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Mesoptometry - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Dark Adaptation (1/2)
Examination not done
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Dark Adaptation - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Other Visual Function Tests (1/2)
Examination not done
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Other Visual Function Tests - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Anterior Segment (1/2)
Normal, age-consistent findings bilaterally
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Anterior Segment - Assessment (2/2)
Unknown
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Fundus (1/2)
OD OS
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Fundus - Assessment (2/2)
Optic discs have sharp margins and normal color OU - No elevation, hemorrhages, exudates or edema
Normal maculas, peripapillary fundus, retinal vessels and retinal periphery in both eyes
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Gonioscopy (1/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Gonioscopy - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
HRT (1/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
HRT - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Optical Coherence Tomography (1/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Optical Coherence Tomography - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
GDx (1/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
GDx - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Ophthalmometer (1/2)
Examination not done
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Ophthalmometer - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
HH-Topometry (1/2)
Examination not done
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
HH-Topometry - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Hertel Exophthalmometry (1/2)
Examination not done
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Hertel Exophthalmometry - Assessment (2/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Other Morphometry (1/2)
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Other Morphometry - Assessment (2/2)
![Page 56: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/56.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Other Morphology (1/2)
![Page 57: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/57.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Other Morphology - Assessment (2/2)
![Page 58: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/58.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
MRI (1/3)
R L
![Page 59: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/59.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
MRI (2/3)
R L
Fluid Level
![Page 60: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/60.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
MRI - Beurteilung (3/3)
Hemorrhage into a pituitary adenoma
Fluid-Level Formation!
![Page 61: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/61.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
CT (1/2)
![Page 62: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/62.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
CT - Assessment (2/2)
![Page 63: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/63.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
PET (1/2)
Examination not done
![Page 64: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/64.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
PET - Assessment (2/2)
![Page 65: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/65.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
X-ray (1/2)
Examination not done
![Page 66: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/66.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
X-ray - Assessment (2/2)
![Page 67: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/67.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Angiography (1/2)
![Page 68: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/68.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Angiography - Assessment (2/2)
![Page 69: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/69.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Fluorescein Angiography (1/2)
Examination not done
![Page 70: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/70.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Fluorescein Angiography - Assessment (2/2)
![Page 71: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/71.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
ICG Angiography (1/2)
Examination not done
![Page 72: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/72.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
ICG Angiography - Assessment (2/2)
![Page 73: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/73.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Echography (1/2)
![Page 74: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/74.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Echography - Assessment (2/2)
![Page 75: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/75.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Doppler Sonography (1/2)
Examination not done
![Page 76: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/76.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Doppler Sonography - Assessment (2/2)
![Page 77: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/77.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Echocardiography (1/2)
Examination not done
![Page 78: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/78.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Echocardiography - Assessment (2/2)
![Page 79: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/79.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Other Imaging (1/2)
Examination not done
![Page 80: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/80.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Other Imaging - Assessment (2/2)
![Page 81: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/81.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Pattern VEP (1/2)
Examination not done
![Page 82: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/82.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Pattern VEP - Assessment (2/2)
![Page 83: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/83.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Flash VEP (1/2)
Examination not done
![Page 84: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/84.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Flash VEP - Assessment (2/2)
![Page 85: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/85.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Acuity VEP (1/2)
Examination not done
![Page 86: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/86.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Acuity VEP - Assessment (2/2)
![Page 87: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/87.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Ganzfeld ERG (1/2)
Examination not done
![Page 88: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/88.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Ganzfeld ERG - Assessment (2/2)
![Page 89: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/89.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
ERG-Campimetry (1/2)
Examination not done
![Page 90: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/90.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
ERG-Campimetry - Assessment (2/2)
![Page 91: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/91.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Pattern ERG (1/2)
Examination not done
![Page 92: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/92.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Pattern ERG - Assessment (2/2)
![Page 93: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/93.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
EOG (1/2)
Examination not done
![Page 94: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/94.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
EOG - Assessment (2/2)
![Page 95: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/95.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Other Elektrophysiologic Tests (1/2)
Examination not done
![Page 96: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/96.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Other Elektrophysiologic Tests - Assessment (2/2)
![Page 97: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/97.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
ESR (1/2)
![Page 98: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/98.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
ESR - Assessment (2/2)
![Page 99: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/99.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Routine Lab Tests (1/2)
![Page 100: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/100.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Routine Lab Tests - Assessment (2/2)
![Page 101: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/101.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Coagulation (1/2)
![Page 102: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/102.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Coagulation - Assessment (2/2)
![Page 103: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/103.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Uveitis Serology (1/2)
![Page 104: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/104.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Uveitis Serology - Assessment (2/2)
![Page 105: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/105.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Immunopath. Lab Tests (1/2)
![Page 106: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/106.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Immunopath. Lab Tests - Assessment (2/2)
![Page 107: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/107.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Differential WBC Count (1/2)
![Page 108: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/108.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Differential WBC Count - Assessment (2/2)
![Page 109: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/109.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Other Lab Tests (1/2)
![Page 110: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/110.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Other Lab Tests - Assessment (2/2)
![Page 111: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/111.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Immunopathology (1/2)
![Page 112: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/112.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Immunopathology - Assessment (2/2)
![Page 113: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/113.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Histology (1/2)
![Page 114: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/114.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Histology - Assessment (2/2)
![Page 115: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/115.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Other Pathology (1/2)
![Page 116: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/116.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Other Pathology - Assessment (2/2)
![Page 117: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/117.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Other Tests (1/2)
![Page 118: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/118.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Other Tests - Assessment (2/2)
![Page 119: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/119.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Internal Medicine Consultation (1/2)
Medicine Consult / Endocrinology:
Prolactin:
![Page 120: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/120.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Internal Medicine Consultation - Assessment (2/2)
![Page 121: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/121.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Neurology (1/2)
Neurological Consult:
Months of Galactorrhea
![Page 122: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/122.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Neurology - Assessment (2/2)
![Page 123: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/123.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Neurosurgery (1/2)
Examination not done
![Page 124: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/124.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Neurosurgery - Assessment (2/2)
![Page 125: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/125.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Genetics Consultation (1/2)
![Page 126: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/126.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Genetics Consultation - Assessment (2/2)
![Page 127: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/127.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
ENT Consultation (1/2)
Examination not done
![Page 128: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/128.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
ENT Consultation - Assessment (2/2)
![Page 129: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/129.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Oral and Maxillofacial Surgery (1/2)
Examination not done
![Page 130: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/130.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Oral and Maxillofacial Surgery - Assessment (2/2)
![Page 131: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/131.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Dermatology (1/2)
Examination not done
![Page 132: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/132.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Dermatology - Assessment (2/2)
![Page 133: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/133.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Psychiatry (1/2)
Examination not done
![Page 134: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/134.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Psychiatry - Assessment (2/2)
![Page 135: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/135.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Surgery (1/2)
Examination not done
![Page 136: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/136.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Surgery - Assessment (2/2)
![Page 137: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/137.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Other Consultations (1/2)
Examination not done
![Page 138: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/138.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Other Consultations - Assessment (2/2)
![Page 139: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/139.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Pulse (1/2)
Examination not done
![Page 140: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/140.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Pulse - Assessment (2/2)
![Page 141: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/141.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
ECG (1/2)
Examination not done
![Page 142: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/142.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
ECG - Assessment (2/2)
![Page 143: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/143.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Holter Monitor (1/2)
Examination not done
![Page 144: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/144.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Holter Monitor - Assessment (2/2)
![Page 145: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/145.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Blood Pressure (1/2)
Examination not done
![Page 146: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/146.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Blood Pressure - Assessment (2/2)
![Page 147: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/147.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
24 Hour Blood Pressure Monitor (1/2)
Examination not done
![Page 148: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/148.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
24 Hour Blood Pressure Monitor - Assessment (2/2)
![Page 149: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/149.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Lumbar Puncture (1/2)
Examination not done
![Page 150: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/150.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Lumbar Puncture - Assessment (2/2)
![Page 151: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/151.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
CSF Pressure (1/2)
Examination not done
![Page 152: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/152.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
CSF Pressure - Assessment (2/2)
![Page 153: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/153.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Microbiology (1/2)
Examination not done
![Page 154: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/154.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Microbiology - Assessment (2/2)
![Page 155: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/155.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Sleep Laboratory (1/2)
Examination not done
![Page 156: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/156.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Sleep Laboratory - Assessment (2/2)
![Page 157: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/157.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Examination not done
Capillarioscopy (1/2)
![Page 158: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/158.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Capillarioscopy - Assessment (2/2)
![Page 159: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/159.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Other Findings (1/2)
Examination not done
![Page 160: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/160.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Unknown
Other Findings - Assessment (2/2)
![Page 161: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/161.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Sudden loss of vision OS, headache
Primary Symptom
![Page 162: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/162.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Diagnoses
Unknown
Your provisional diagnoses Actual diagnoses
1Pituitary-apoplexy
(Hemorrhage into a prolactinoma)
2Obesity
3Upper respiratory infection with
purulent maxillary sinusitis, right side
![Page 163: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/163.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Differential Diagnoses
Your differential diagnoses Differential diagnoses
Unknown
Retrobulbar Optic Neuritis
(but: lacking pain on eye
motion, and atypical sequence
of events)
![Page 164: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/164.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Etiology/Pathogenesis
Rapid growth of the tumor increases
the risk of pituitary apoplexy
Further reading, see „Clinical NeuroOphthalmology“
Chapter 2
Chapter 3
Chapter 12
![Page 165: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/165.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Therapy
Immediate neurosurgical intervention
(after imaging [MRI], including angiography)
Use bromocriptine [a dopamine (D2) antagonist] to reduce
the level of prolactinemia and shrink the tumor
Introduce with a gradually increasing dose.
![Page 166: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/166.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Historical Background
• Wilbrand HL (1926) Schema des Verlaufs der Sehnervenfasern durch das Chiasma. Z Prakt Augenheilkd 59:135-144
• Wilbrand H, Saenger A. Die Neurologie des Auges. Verlag von J.F. Bergmann, Wiesbaden, 1904.
![Page 167: U. Schiefer, W. Schnerring, R. Burth, J. Schiller, J. Pätzold, M. Grigoleit, B. Selig, B. Hart](https://reader036.vdocuments.pub/reader036/viewer/2022062422/56813eb7550346895da91ce2/html5/thumbnails/167.jpg)
FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
• Hollenhorst RW, Young BR: Ocular manifestations produced by adenomas of he pituitary gland: Analysis of 1000 cases. In: Diagnosis and treatment of pituitary tumors. Editors: Kohler PO, Ross GT, pp. 53-68. Excerpta Medica, Amsterdam, 1904
• Huber A (1977) Chiasmasyndrome - Klinik. Klin Monatsbl Augenheilkd 170:266-278.
• Horton J. In: Hoyt WF, ed. An Update in Neuro-Ophthalmology. UCSF, San Francisco, California, 1995: pp 27-38
• Schiefer U, Isbert M, Mikolaschek E, Mildenberger I, Krapp E, Schiller J, Thanos S, Hart W (2004) Distribution of scotoma pattern related to chiasmal lesions with special reference to anterior junction syndrome. Graefes Arch Clin Exp Ophthalmol 242:468-477
Literature
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
The optic chiasm is the locus of the greatest risk for catastrophic loss of vision.
Chiasmal lesions produce characteristic visual field deficits that show respect for the vertical meridian (in at least one eye) and can be monocular or binocular with widely varying asymmetries.
Rapid growth of the tumor increases the risk of pituitary apoplexy.
Summary
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Cost Analysis
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Sum: 0
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Total time: 0s
Medical treatment Time Costs
Cost estimation according to GOÄ
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Optimal Approach
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Sum: 0Cost estimation according to GOÄ
Medical treatment Costs
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Comparison
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Your approach: Optimal approach:
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
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Evaluation of Questions
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
Other Discussion
Unknown
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FR, Male adolescent, 18 years oldSudden loss of vision OS, headacheHistory Visual Function Tests Morphology Other Findings Discussion
Note
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