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81 year old african american woman She has noticed that her vision is getting blurry and teary. The left eye bothers her more than the right. The vision in the left eye seems out of focus. This has been happening for 2-3 months. Her BP has been a little elevated but she was put on a second medicine and that is now better. She is not having unusual headaches. She is having joint pains more than usual. (right knee, left shoulder and her left ankle) for about 3 months. She saw a rheumatologist who did testing and she also had cortisone shots. No new cats. She has no recent travel history. She has no recent flu or fevers that she can remember. Vision 20/25 OD 20/32 OS - Optic nerve swelling OS with some adjacent retinal edema

syph_arho_022817_01.png
Syphilitic Optic Neuritis - possible Gumma50 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_02.png
Syphilitic Optic Neuritis - possible Gumma37 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_03.png
Syphilitic Optic Neuritis - possible Gumma34 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_04.png
Syphilitic Optic Neuritis - possible Gumma36 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_05.JPG
Syphilitic Optic Neuritis - possible Gumma48 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_06.jpg
Syphilitic Optic Neuritis - possible Gumma38 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_07.jpg
Syphilitic Optic Neuritis - possible Gumma35 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_08.jpg
Syphilitic Optic Neuritis - possible Gumma31 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_09.jpg
Syphilitic Optic Neuritis - possible Gumma30 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_10.jpg
Syphilitic Optic Neuritis - possible Gumma41 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_11.jpg
Syphilitic Optic Neuritis - possible Gumma37 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_12.jpg
Syphilitic Optic Neuritis - possible Gumma30 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_13.jpg
Syphilitic Optic Neuritis - possible Gumma30 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_14.jpg
Syphilitic Optic Neuritis - possible Gumma41 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_15.jpg
Syphilitic Optic Neuritis - possible Gumma37 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_16.jpg
Syphilitic Optic Neuritis - possible Gumma35 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_17.jpg
Syphilitic Optic Neuritis - possible Gumma32 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_18.jpg
Syphilitic Optic Neuritis - possible Gumma30 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_19.jpg
Syphilitic Optic Neuritis - possible Gumma31 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
syph_arho_022817_20.jpg
Syphilitic Optic Neuritis - possible Gumma46 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma00000
(0 votes)
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81 year old african american woman She has noticed that her vision is getting blurry and teary. The left eye bothers her more than the right. The vision in the left eye seems out of focus. This has been happening for 2-3 months. Her BP has been a little elevated but she was put on a second medicine and that is now better. She is not having unusual headaches. She is having joint pains more than usual. (right knee, left shoulder and her left ankle) for about 3 months. She saw a rheumatologist who did testing and she also had cortisone shots. No new cats. She has no recent travel history. She has no recent flu or fevers that she can remember. Vision 20/25 OD 20/32 OS - Optic nerve swelling OS with some adjacent retinal edema