Emergency Medicine for Medical Students and Residents
Where would a lesion most likely be located if there was loss of vision on both temporal sides of the visual field (bitemporal hemianopia)?
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While working overnight in the ED, your preceptor asks you to explain how patients are initially managed in the ED. You confidently say "ABCs with c-spine control". Having heard this many times, the preceptor then asks you to explain under what circumstances you would intubate a patient. You would intubate all of the following patients EXCEPT:
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Review the visual pathways and the defects associated with lesions at the various locations. The optic nerve would leave complete loss of vision in the one eye, while the optic tract would give you a homonymous hemianopia. The brainstem is not involved in transmitting visual information.