Log in with your email address username.


Important notice

doctorportal Learning is on the move as we will be launching a new website very shortly. If you would like to sign up to dp Learning now to register for CPD learning or to use our CPD tracker, please email support@doctorportal.com.au so we can assist you. If you are already signed up to doctorportal Learning, your login will work in the new site so you can continue to enrol for learning, complete an online module, or access your CPD tracker report.

To access and/or sign up for other resources such as Jobs Board, Bookshop or InSight+, please go to www.mja.com.au, or click the relevant menu item and you will be redirected.

All other doctorportal services, such as Find A Doctor, are no longer available.

The trumpet’s blown pupil

- Featured Image

On the advice of a neurologist friend (author C P), a 42-year-old man was rushed to hospital with a fixed dilated pupil (Figure, A). His condition was otherwise normal, as were the findings of urgent magnetic resonance imaging and angiography of the brain.

By Day 3, his mydriasis had resolved (as did the mystery) when the patient asked his “learned” friend how common eye injuries with whipper-snippers were. He mentioned, in passing, that on the morning of the incident he had cut back his beloved Angel’s trumpet (Figure, B) — a member of the Solanaceae family, all parts of which are laced with anticholinergic alkaloids.

A detailed history, botanical or otherwise, will always trump the next best test.