She also says her vision has changed, but she went to get her glasses checked and they told her they were fine. Other pertinent history is obtained that she had a child 9 months ago, and gained 80 pounds during pregnancy. She has lost 30. On physical exam, she is obese. Vital signs are normal.
Funduscopic exam shows bilateral disc margin blurring with a flame hemorrhage in the right.
Pupils are equally reactive. Visual fields are full on finger confrontation. There is a question of mild lateral rectus weakness on the right. The rest of the cranial nerves are normal as is her strength, sensation, and reflexes. There is no Babinski.