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Patient presents with vision complaints
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You perform a quick visual field exam in your office which is normal. The CT head that you ordered also comes back normal. There are no lesions in the visual cortex and you cannot see any hyperdensity in either of the posterior cerebral arteries.
You feel that you have hit a dead-end with both of your investigations coming back negative and then you remember that, like a good physician, you had taken the patient`s previous medical history which was positive for hypertension, diabetes, and occasional headaches.
With this new information in hand, what is your next step?
Responses:
choose the best one answer
Step Two
Fundoscopic examination is always a component of investigating a complaint of visual loss, and should ideally be done before ordering neuroimaging. Although it is important to rule out temporal arteritis (an ESR alone is sufficient), it does not generally cause transient visual loss. It is also important to inquire about related symptoms such as jaw claudication and scalp tenderness.