Mandy Wallsmith (Part 2) MF4 Neurology
Activity
Tutorial
Six months after her previous presentation of transverse myelitis, from which she completely recovered, Mandy Wallsmith returns with complaints of bilateral visual loss (worse on the right). The problem started two days ago with pain in and behind her right eye, worse when she would look to the left or right. Yesterday, she began to notice that she wasn't seeing well out of her right eye. Today her vision seems worse, although the pain is a little better. On examination, her visual acuity is found to be 20/80 in the left eye (OS) and 20/400 in the right eye (OD). Visual field appears to be normal in the left eye, but she can only detect hand motion (not finger counting) in all quadrants with the right eye. She finds that colours look less vivid with her right eye - especially red, which looks "kind of gray".

Curriculum Block

Medical Foundation 4 / Neuroscience / Part 4 / Week 1
- Indicates most relevant

Objectives

General Objectives
Global Objectives

Assessments

End-Unit Tutorial Assessment
Mini Concept Application Exercise (CAE)

Tags

Basic Sciences
Anatomy Physiology
Curriculum Block
Medical Foundation 4 Neuroscience Part 4 Week 1
Curriculum Week
Part 4 Week 4
Discipline
Neurology Ophthalmology
Longitudinal Discipline
Immunology
MCC Presentations
Acute Visual Disturbance/Loss
McMaster Program Competencies
1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
MeSH
Demyelinating Autoimmune Diseases, CNS [C10.314.350] Eye [A09.371] Multiple Sclerosis [C10.314.350.500] Neurologic Examination [E01.370.376.550] Optic Chiasm [A08.800.800.120.680.600] Optic Nerve [A08.800.800.120.680] Pupil Disorders [C10.597.690] Visual Acuity [G14.940] Visual Field Tests [E01.370.380.850.962] Visual Fields [G14.950]