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63 yrs old patient presented to the ER c/o severe left sided h | sᴘᴏᴛ ᴅɪᴀɢɴᴏsɪs

63 yrs old patient presented to the ER c/o severe left sided headach, halos around the light and Lacrimation for 2 hours
Hx significant for urinary incontinence and UTI medication wise patient on TMP/SMX & and Tolterodine

O/Ex : red eye, non reactive dilated pupil.
Investigation : ESR 35

Source of image:
The new England journal of medicine
https://www.nejm.org/doi/full/10.1056/NEJMicm1712742