Vision Loss Review: Optic Neuritis, Retinal Vessels and Diplopia | Part 2 | 神經視覺 | OET Music

Dr Allison Lu · Pip & Barnaby · Medical English

本頁提供本曲完整英文歌詞與影片搭配的繁中醫學提示。歌詞保留原演唱文字;遇到過度簡化或舊門檻,請搭配下方提示與原始資料閱讀。這是概念學習材料,不替代個別醫療評估。

Lyrics · 完整歌詞

The central distinctions can be recalled as follows.

All young adults with painful monocular visual loss
and an afferent pupillary defect receive intravenous methylprednisolone,
never standard-dose oral prednisone alone.
Is the loss painless, sudden and in an older patient?
Think arterial or venous occlusion,
and treat suspected giant cell arteritis with steroids before biopsy.
On the spinal cord, not the medulla, visceral and somatic afferents converge,
which is why gallbladder pain surfaces in the right shoulder.
Lucid rule for the sixth nerve:
an older diabetic may be observed for three months,
but a child is imaged today.


All young adults with painful monocular visual loss
and an afferent pupillary defect receive intravenous methylprednisolone,
never standard-dose oral prednisone alone.
Is the loss painless, sudden and in an older patient?
Think arterial or venous occlusion,
and treat suspected giant cell arteritis with steroids before biopsy.
On the spinal cord, not the medulla, visceral and somatic afferents converge,
which is why gallbladder pain surfaces in the right shoulder.
Lucid rule for the sixth nerve:
an older diabetic may be observed for three months,
but a child is imaged today.

Medical Notes · 醫學學習提示

  1. 視力急降須緊急評估;歌詞口訣不能取代病因診斷
  2. 年輕人單眼視力下降且疼痛,須鑑別視神經炎等病因
  3. 並非人人都需靜脈類固醇;依病因、嚴重度與專科評估
  4. ONTT 不支持一般劑量口服單用;等效高劑量另論
  5. 突然無痛視力下降須排除血管阻塞等眼科急症
  6. 動、靜脈阻塞的眼底表現不同;圖為正常解剖示意
  7. 高度懷疑 GCA 時勿等切片才治療;有視覺症狀須緊急處理
  8. 內臟與體表傳入在脊髓會聚,可造成轉移痛
  9. 右橫膈刺激可經 C3–C5 引起肩痛;膽囊痛並非全走此路
  10. 第 VI 神經麻痺需評估病因、其他神經徵象與顱壓
  11. 疑似孤立微血管性麻痺才考慮追蹤;有警訊須及早影像
  12. 兒童新發第 VI 神經麻痺須迅速專科與影像評估

References