VOL 48: NOVEMBER • NOVEMBRE 2002 Canadian Family Physician • Le Médecin de famille canadien 1771 clinical challenge
défi clinique
clinical challenge
défi clinique
clinical challenge
défi clinique
Dr Baxter is a fourth-year resident in the Department of Ophthalmology at Queen’s University in Kingston, Ont.
Dr Sharma is an Associate Professor in the Department of Ophthalmology and an Assistant Professor in the Department of Epidemiology at Queen’s University.
Ophthaproblem
Stephanie Baxter, MD Sanjay Sharma, MD, MSC, MBA, FRCSC
Answer on page 1776
A
36-year-old man presents with a history of inter- mittently droopy eyelids and double vision. These symptoms seem to fluctuate throughout the day and are absent when he wakes up in the morning. He is otherwise well.The appearance of the eye is compatible with the patient’s having which of the following?
1. Left third nerve palsy 2. Ocular myasthenia gravis 3. Thyroid ophthalmopathy 4. Multiple sclerosis
