care for eyes...

Mnemonic – “Live Frankly To See Absolutely No Insult” The nerves passing through superior orbital fissure are (from top to bottom) : Lacrimal nerve Frontal nerve Trochlear nerve Superior division of oculomotor nerve Abducens nerve Nasociliary nerve (branch of ophthalmic nerve) Inferior division of oculomotor nerve

Male. 36 years. Swelling outer corner of right eye. say's he noticed it 17 to 18 years ago. Gives h/o getting aspirated twice in the past. Becomes totally normal but gradually grows back. Your opinion please.

18years old boy, right side upper eye lid extremely difficult since to the birth. *Chief Complaints* Vision problems, no any other complain. *History* Extremely difficult right upper eye lid since birth. *Vitals* Puls 72 bpm SpO2 99% *Physical Examination* One side vision (left eye) normal. Physically fitness positive for walking, running, cycling, reading and riding. *Investigations* Please suggest essential investigation. *Diagnosis* Please suggest, what should be done? *Management* Please suggest management???

Pt came with complaining of unable to close left eye and difficult chewing from left side since last 7 days.. h/o accident before 10 days and impact over left ear, bleed from left ear with resolved spontaneously. on examination, left eye opened though volunteer closure. left nasolabial fold absent can be seen in image. signs of left sided muscles wasting. pt is willing to operate for make clear these complaints.. Diagnosis and approach? Ignore black bands as for patient's privacy..

77 yeas old female with a background notable of metastatic small bowel GIST. The patient is on chemotherapy, HTN, thyroidectomy, cholecystectomy presented with 10 day Hx of intermittent fevers, nonproductive cough, and increased Shortness of breath. PO2 8.8 on FiO2 0.85 on admission Admitted to ICU and Intubated Lung protective ventilation commenced but desaturated to 80% following RIJ CVC. Decompressed by the bedside and a CXR was performed that revealed large pneumothorax. The chest drain inserted with pneumothorax resolved gradually. 1 day after admission the admitting diagnosis was confirmed COVID-19. What are your experiences and knowledge of managing COVID-19 patients? Please discuss