Surprising

Nervous System & Special Senses

1

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{"ops":[{"insert":"A 22-year-old woman presents with diplopia since waking up an hour ago. She has had a worsening retro-orbital headache for three days and a high fever for four days. She has not obtained medical attention so far, but has self-medicated herself with ibuprofen.\n\nShe was diagnosed with type I diabetes mellitus four years ago and is on insulin. Her glycemic control has been poor due to a lack of compliance with lifestyle measures and the insulin regimen. She was diagnosed with grade I diabetic retinopathy six months ago. Her medical history is unremarkable otherwise. She is not on any other medications. Her surgical, family, and allergic histories are also unremarkable.\n\nA random capillary glucose is 306 mg\/dL (17 mmol\/L).\n\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-236_en.png"}},{"insert":"\n"}]}

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