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?
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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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Diagnosis (Locked)
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Management Plan (Locked)
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