Episode 419: Neurology VMR – Headache and diplopia
The Clinical Problem Solvers
The Clinical Problem Solvers
4.7 • 528 Ratings
🗓️ 11 September 2025
⏱️ 53 minutes
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| 0:00.0 | Welcome back, Clinical Problem Solvers. |
| 0:05.0 | Maddie and Yusuf here. |
| 0:07.0 | At CP Solvers, our mission is to make clinical reasoning accessible to learners worldwide. |
| 0:13.0 | We invite you to join us for our live virtual morning reports, where we break down cases and sharpen our diagnostic reasoning together. |
| 0:22.5 | Now over to you, Yusuf. |
| 0:24.6 | Thanks, Madi. Just a quick reminder, this podcast is for educational purposes only and is not |
| 0:30.3 | a substitute for medical advice. Patient details have been modified to protect their privacy. |
| 0:35.5 | And the views expressed through our own, not those of our employers. |
| 0:39.1 | Now, let's dive into the case. Enjoy the show. |
| 0:51.1 | So the chief complaint is headache along with painful, blurry vision. |
| 0:57.3 | So, Valet, what comes to mind when you hear headache and painful blurry vision? |
| 1:02.6 | Thank you, Jeffrey. |
| 1:03.3 | I think I will start with the headache part. |
| 1:06.2 | You know, when it comes to headache, we often think about primary versus secondary headache. |
| 1:12.3 | Usually, you know, to differentiate the two, we need to look for red flags. |
| 1:17.6 | So in this case, we have a red flag, the painful beareribision, which I think it's a localizing |
| 1:22.4 | neurological symptom. |
| 1:25.0 | But, you know, we have the, I often remind myself to kind of to take a step back |
| 1:30.3 | and also have like the anatomical approach before like the two primary or secondary buckets. |
| 1:35.1 | And the anatomical approach is usually, you know, things that are inside the head, like |
| 1:39.4 | the brain and the meninges and the vessels. And then also things that are outside the head, which also include the vessels, |
| 1:46.0 | for example, the temporal artery in GCA, and also things that can cause headache that are |
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