Wednesday, August 17, 2011

Spot Diagnosis 12



Sunday, August 14, 2011

What is the abnormality here?

Spot Diagnosis X

This 53 year-old man was referred by his optician because of dropping of the right eyelid. However, the patient was unaware of any aigns or symptoms. On examination, the right upper lid was ptotic with small pupil. The lower lid was also higher than that of the left giving the right eye an apparent enophthalmos. There was no heterochromia. Direct questioning did not reveal any signs or symptoms of asymmetrical facial sweating or flushing during exercise.