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Diseases of the Optic Nerve | Joel S. Glaser, MD (1938 - 2011) | If difficulty in fundus diagnosis persists, the following rules may prove valuable: 1) a spontaneous venous pulsation militates strongly against papilledema; 2) serial observations, looking for changes, are more valuable than hasty hasty pronouncements (especially if erroneous); 3) if the patient is... | 19760206_nanos_varsubjectssympos_02 |