Q:

A 48 year old woman presents with left-sided severe headache. She also has a red, watering eye and complains of seeing colored haloes in her vision. What is the most appropriate next step?

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A 48 year old woman presents with left-sided severe headache. She also has a red, watering eye and complains of seeing colored haloes in her vision. What is the most appropriate next step?


  1. Measure IOP (intra ocular pressure)
  2. Relieve pain with aspirin
  3. 100% oxygen
  4. CT
  5. Relieve pain with sumatriptan

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The key is A. Measure IOP. [Probable case of angle closure glaucoma requiring measurement of IOP to establish the diagnosis].

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