A woman in her 30s has no specific chief complaint other than intermittent floaters. She is referred for evaluation of bilateral papilledema. Patient history Medical, family, and social history: Normal Currently not on any medications No allergies reported Clinical Exam Best-corrected visual acuity: 20/25 OD and 20/20OS.
Extraocular movements: intact Pupils round and reactive with no afferent pupillary defect. Intraocular pressure by applanation: 18 mm Hg OU Anterior segment examination: Normal Examination of fundus: the optic nerves seen in Figure (Color fundus photography of the right (A) and left (B) eye demonstrates an elevated optic disc with blurred margins and loss of the central physiologic cup) The remainder of her posterior segment: Normal WHAT WOULD YOU DO NEXT? Order magnetic resonance imaging of the brain and orbits Order a lumbar puncture with opening pressure Order B-scan…
