Mark Previous Next Assignment Help: How to Answer This Question
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Original Question
Mark Previous Next A 35-year-old man presents to his physician because of blurry vision in his right eye since last evening. He has pain around his right eye with eye movement but no headache. He does not have itching, tearing, or redness in his eye. He is otherwise in general good health and does not take any medication. Review of systems reveals an episode of tingling in his left leg 5 months ago for which he did not seek medical care, and it resolved after 2 weeks. Vital signs are all within the normal range. On physical examination, illumination of the left eye produces bilateral pupillary constriction and illumination of the right eye results in pupillary dilation. Fundoscopic examination shows optic disk hyperemia and swelling with blurred disk margins, and distended veins in the right eye. A color vision test shows decreased perception in the right eye. The remainder of his general physical and neurologic examination shows no abnormalities. A brain MRI shows several foci of hyperintensity in the periventricular and juxtacortical regions. A referral is sent for a neurology consultation. What is the most appropriate next step in management? O A. Acyclovir B. Gabapentin C. Intravenous immunoglobulin (IVIG) D. High-dose glucocorticoids OE. Plasma exchange
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