The Stressed Coder's Blood Pressure Crisis
neuro ophthalmology
Patient Demographics
Age: 30 years
Gender: Male
Occupation: Software Engineer
History of Presenting Complaint
Blurring of vision in the right eye, headaches, and loss of energy. Recent stress following father's death from motor neurone disease.
Past Medical History
- Previously well with no significant medical history
- Family history of motor neurone disease (father)
- Recent bereavement and increased stress levels
- No previous eye problems or vision concerns
Examination Findings
Visual Acuity
OD: 6/7.5, OS: 6/6
Pupils
Equal, reactive, no RAPD
Extraocular Movements
Full and pain-free in both eyes
Anterior Segment
Both eyes: Clear cornea, deep anterior chamber, no inflammation
Posterior Segment
OD: Optic disc oedema with blurred margins, cotton wool spots, flame-shaped hemorrhages. OS: Comparatively normal appearance
Intraocular Pressure
OD: 16mmHg, OS: 15mmHg
Which investigations would you choose?
Try to decide before revealing the results. You have 2 attempts.
Blood pressure measurement
Fluorescein angiography
Fundus photography
MRI brain
OCT optic disc
Renal function and electrolytes
0 of 4 investigations selected
Investigations (Locked)
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