Date of birth and address confirmed. Consented to view his medical notes.

Presenting Complaint

Blurred vision since this afternoon

History of Presenting Complaint

Patient had a skiing accident a few days ago and fell hitting his head
CT scan performed in France showed no bleed
Developed blurring of vision this afternoon which has not resolved
Associated feeling of being generally unwell
Blood pressure taken at home was 200 systolic
No vomiting
No numbness or weakness in arms and legs
General soreness all over
No loss of vision
No loss of consciousness

Observations

Blood pressure 170 over 60
Heart rate 80 and regular
Temperature 37.0
Respiratory rate 18
Oxygen saturations 98 percent

On Examination

Patient alert
Ophthalmoscopy performed. Pupils equal and reactive. No papilloedema
Upper and lower limbs with grossly normal power and normal sensation

Plan

Advised patient to attend accident and emergency due to focal neurology and blurring of vision
Patient will attend accident and emergency now

Safety Netting

Advised to contact 111 or 999 if develops worsening symptoms, further vision problems or focal neurological symptoms

Transcript[00:01] S1: Um, patient. With his partner. Date of birth and address confirmed. Consented to view medical notes. Presentation. Blurred vision. History presenting complaint. Patient had a skiing accident, uh, a few days ago. Fell and hit his head. Um, had a CT in France and CT showed no more with no bleed today. Reports he developed blurring of vision this afternoon hasn't gone away. Um also associated um feeling generally unwell. Took his blood pressure while he was at home. And blood pressure was 200 systolic. Uh, no vomiting, no numbness or weakness in arms and legs. Uh, general soreness all over? No, actually. Loss of vision, no loss of consciousness. Uh, on examination, patient alert. Blood pressure is 170 over 60. Heart rate is 80. Regular temperature is 37.0. Respiratory rate of 18 oxygen or 98. Um ophthalmoscopy. Pupils. Equal and reactive. No pupil edema. Upper and lower limb. Grossly normal power and normal sensation plan. Advise patient to attend accident and emergency due to focal neurology and blurring of vision. Um. Safety net advice if develop worsening symptoms, further vision problems or focal neurological symptoms to contact 111 999 patient will attend now.