Clinic reporting sudden onset right eye ptosis and binocular

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A 67-year-old white male presented to the urgent care clinic reporting sudden onset right eye ptosis and binocular, vertical, diplopia that was worse at the end of the day, of one week duration. The patient denied difficulty swallowing, breathing, hoarseness or generalized weakness. His medical history was positive for hypertension, atrial fibrillation and high cholesterol. He reported good compliance and control of these conditions. Medications: atenolol, Simvastatin, Niaspan, and Coumadin. He was a non-smoker and had no drug allergies. He was oriented to person, place and time.

Reference no: EM133667932

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