neuro12 - nishi

[ArchivalUser]

A 65-year-old woman is seen for evaluation of dementia. On examination,
you note that her left pupil does not react well to light. When she
follows your finger with her eyes, as you approach the bridge of her nose,
you note the left pupil to constrict equally as well as the right one. The
most important test to order at this point would be
a. Titer for Lyme disease
b. B12 level
c. RPR
d. HIV
e. Fasting glucose

[ArchivalUser]

quite tough
D??just guess.

[ArchivalUser]

ccccc?

[ArchivalUser]

C...Argyll-robertson pupil of tertary syphilis?

[ArchivalUser]

hey steady ..r u suspecting HIV in 65 year old??? just kidding...its c?????

[ArchivalUser]

it was just blind guess.I know i am always wrong whenever i make guesses,but still i can't stop myself in making guesses.

[ArchivalUser]

ans CCCCCC....

This is the typical Argyll
Robertson pupil found in syphilis. The RPR (rapid plasma reagin), a nontreponemal
antibody test for syphilis, will be positive.