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Pulsatile Exophthalmos on Physical Exam in the setting of Carotid Cavernous Fistula (CCF) Sudden onset headache, nausea, and double vision. Oren Gottfried, MD @OGdukeneurosurg #Pulsatile #Exophthalmos #proptosis #PhysicalExam #clinical #Carotid #Cavernous #Fistula #CCF #ophthalmology