A 52-Year-Old Man With Blurred Vision and Headache

Basma Abdulhadi, MD


February 05, 2018

Physical Examination and Workup

Upon physical examination, the patient is obese and noted to be drowsy. His vital signs reveal an oral temperature of 98.4°F, heart rate of 76 beats/min, blood pressure of 220/110 mm Hg, and respiratory rate of 12 breaths/min. His sclerae are anicteric, and his oropharynx is dry.

A funduscopic exam reveals retinal hemorrhages and exudates without papilledema (Figure 1).

Figure 1.

Apart from drowsiness and somnolence causing altered mental status, the rest of his neurologic examination is nonfocal. Respiratory and cardiovascular examination findings are normal. The abdomen is soft and nontender.

A complete blood cell count and basic metabolic panel findings are obtained, with no significant findings.

An ECG is obtained (Figure 2).

Figure 2.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.