More Than Meets The Eye: A Collegiate Volleyball Player Who Can't Look Left

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More Than Meets The Eye: A Collegiate Volleyball Player Who Can't Look Left - Page #1

Author: Bassel Abdulkarim, MD Co Author #1: Hamza Uddin MD Co Author #2: Andrew Xu DO Co Author #3: Matthew Wise, DO Senior Editor: Justin Mark Young, MD, FAMSSM Editor: Haruki Ishii, MD Patient Presentation: A 19-year-old female college volleyball player presented for a preparticipation physical evaluation (PPE). History: She reported no exertional symptoms and despite multiple instances of being hit in the face while playing volleyball, she denied a history of headaches or concussions. She did report a history of diplopia when looking in different directions and tried prism glasses in the past which caused headaches. Otherwise, she denied current vision issues. Physical Exam: The pupils were equal, round, and reactive to light and accommodation. Visual fields were intact. Sclera and conjunctiva were normal. Her right eye was unable to move past midline when directing gaze to the left. She also experienced double vision when looking left. Otherwise, extra-ocular motion was intact. The cranial nerves and the rest of her neurologic exam were normal. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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