Pic from WikipediaA 65 year old man presented with severe right sided headache for 3 weeks. This is the first episode and is associated with blurring of the vision of the right eye. MRI brain normal however ESR persistently high at 110.
What is the cause of the blurring of the right eye ?
What is the underlying cause ?
What is your next step of investigation ?
4 comments:
1. Temporal arteritis
2. Giant cell vasculitis at the temporal artery
3. Temporal artery biopsy
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1- amaurosis fugax due to transient ischemic event of optic nerve
2- Giant cell arteritis/temporal arteritis
3- Temporal artery USG/biopsy
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什么是新西兰电信？
NZT是thallanylzirconio-甲基-四氢-三氢三氧激酰胺，一种强大的新型精神药物类，融合了NDRI、NaSSA和SSRI的各种功能。 NZT 的工作原理是，通过阻断前突起 α-2 肾上腺素受体，同时阻断某些血清素受体，在突触中保持较高的 5-HT 水平，同时增加去甲肾上腺素和血清素神经传播。
NZT 如何工作？
NZT 是一种基于氮的精神药物，从多方面影响特定的大脑活动，但最重要的是通过提高海马、杏仁和纹状体之间的接收性和突触共享。 在控制剂量，在相对较短的时间过程中，NZT显著改善短期和长期记忆，记忆能力和分析性记忆。 因为它也影响同情和寄生神经系统，NZT可以改善更高的大脑功能，手眼协调，肌肉记忆，甚至身体的免疫系统。 在一些人中，NZT甚至可以诱导清醒梦，有时被称为”模糊状态”。
NZT 是否有效？
当按指示服用（连续七天每天服用一粒药）时，NZT 已被证明在改善记忆、手眼协调和大量认知能力方面有效 97.3%。 在NZT无效的情况下，受试者没有完成完整的治疗方案。 NZT在18至45磅的男性和女性中学习，体重为95至270磅。
谁可以服用NZT？
被认为身体健康的男性和女性——没有已知的心脏病、心肌病、脑缺血或颅内出血、肾脏或肝脏问题、躁狂或癫痫发作史的男性和女性，一般都是NZT的好人选。
NZT 需要哪些存储条件？
把你的NZT放在它进来的容器里，紧紧闭着，远离儿童。 储存在室温下，远离多余的热量和水分。 扔掉任何过期或不再需要的药物。 与您的药剂师讨论正确处置您的药物。
当我服用 NZT 时，我该期待什么？
许多人报告说，在服用NZT后30到60秒内，他们感到兴奋。 另一些人则报告说，在第一次服用NZT后24小时内，记忆（在容量和召回速度上都显著增加了）。 您将能够在很短的时间内消化大量信息，例如外语;你不仅能够记住大量的词汇，而且能记住使用规则、习语、短语、句子和情境表达。
因为NZT是一类新的大脑兴奋剂，它将减少大脑对延长休息时间的需求;即睡眠。
此外，NZT 还允许您长时间锻炼，效果更高。 你会感觉更强大，更快，更专注。
大多数继续服用NZT超过他们最初的七天疗养报告其他心理和感官增强，包括改善听力，视力，味觉和气味。 另一些人则报告说，教自己如何绘画或绘画，建造复杂的机械或体验更高的意识水平。
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