A 35-year-old woman comes to the General Practitioner complaining of a painful red photophobic eye with some blurred vision. She reports no discharge, headache, nausea or vomiting. She has a medical history of inflammatory bowel disease but is otherwise healthy.
What is the probable diagnosis?
A 23-year-old female patient visits her GP complaining of vision abnormalities. She reports seeing a black shadow in her right eye’s upper field of vision unilaterally. Additionally, she has been experiencing sudden flashing lights in spindly shapes for a few hours. Upon examination, there are no visible abnormalities in the eye, and both pupils are equal and reactive. The patient has no known medical conditions or allergies. What is the most probable diagnosis for this patient’s symptoms?
A 67-year-old patient on your morning telephone appointment list reports a painful watering left eye after mowing the lawn. His daughter can see a grass seed visibly stuck near his cornea. What is the most suitable course of action?
An 80-year-old woman visits the clinic with a complaint of blurred vision in her right eye for the past few months. She reports that straight lines appear crooked or wavy, but only in the center of her right visual field. She has never used glasses or contact lenses. During the examination, a central scotoma is observed in the right eye.
What is the most probable diagnosis?
An 80-year-old man visits his primary care physician, reporting difficulty watching television. He has a medical history of hypertension, but no other significant issues.
Tests:
Fasting plasma glucose: 6.5 mmol/l
Fundoscopy: Bilateral drusen affecting the fovea
Visual field testing: Bilateral central visual field loss
Fluorescein angiography: Bilateral retinal neovascularisation and exudates present
What is the most appropriate diagnosis for this patient’s symptoms and test results?
A 28-year-old man presents with an acutely red right eye. He also has dull aching pain affecting the eye, and he is photosensitive, with light severely worsening the pain in the eye. There is no mucopurulent discharge and he has mild blurring of vision. The left eye is not affected. Other past history of note includes intermittent diarrhoea, which he says looked bloody on a couple of occasions, but he put this down to food poisoning. On examination, his blood pressure is 125/72 mmHg; he looks thin, with a body mass index of 19.
Investigations:
Investigation Result Normal value
Haemoglobin 119 g/l 135–175 g/l
White cell count (WCC) 8.1 × 109/l 4–11 × 109/l
Platelets 204 × 109/l 150–400 × 109/l
Erythrocyte sedimentation rate (ESR) 35 mm/h 0–10mm in the 1st hour
Sodium (Na+) 141 mmol/l 135–145 mmol/l
Potassium (K+) 4.5 mmol/l 3.5–5.0 mmol/l
Creatinine 130 μmol/l 50–120 µmol/l
Intraocular pressure: reduced in the affected eye, with numerous cells seen within the aqueous.
Which of the following is the most likely diagnosis?
A 65-year-old man comes to your clinic exhibiting typical symptoms of seborrhoeic dermatitis. He also reports experiencing eye itchiness. What is the most probable diagnosis to accompany seborrhoeic dermatitis in this case?
A 22-year-old woman, who is a known type 1 diabetic, visited the GP clinic with a complaint of decreased vision. Her left eye has a vision of 6/6, while her right eye has a vision of 6/18.
Your GP placement supervisor has requested you to conduct a dilated direct fundoscopy on her eyes. During the examination, you observed exudates forming a ring around a dot haemorrhage near the fovea.
What is the initial treatment for this eye condition?
A teenage boy comes to the General Practitioner (GP) with a lump on his eyelid. He has noticed it for the past two days. The GP identifies it as a chalazion.
What is the most appropriate course of action?
A child with leukaemia is given etoposide.
What is the mechanism of action of this medication?