Acute Vision and Weight Loss

Author: Jagruti Godhaniya / Editor: Yasmin Sultan / Codes: Published: 22/02/2023

A 76-year-old female presents to the emergency department (ED) after noticing loss of vision in the left eye 1 hour before whilst grocery shopping. She denies any ocular pain or diplopia. On further questioning she reports a bi-temporal headache, general fatigue, myalgia and weight loss over the last few months.

Previous medial history includes:

  • Hypertension
  • AF (on Apixaban)
  • Breast cancer treated 20 years ago
  • Chronic joint pain and stiffness

Observations are as follows:

  • Heart rate: 73 beats per minute
  • Blood pressure: 151/87
  • Respiratory rate: 17
  • Temperature: 36.6 degrees Celsius
  • O2 saturations: 100% on air

On examination there is a right relative afferent pupillary defect (RAPD), visual acuity in the left and right eye is hand movement and 6/6 respectively.

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