Case 2: Introduction

Case Published: June 2021

History of Present Illness (HPI)


The patient is a 70-year-old female with a history of hypertension who presented to the ophthalmology clinic with several weeks of monocular vision loss.  She was in her usual state of health until 2 months prior to presentation, when she developed pain in her neck. The pain then spread to the ears, jaw, and eventually both temples. The pain in her jaw seemed to be triggered by chewing at the end of the day. Twelve days prior to presentation, she noted that her upper visual fields “turned black” when she would bend over. She then awoke one morning with complete loss of vision in the left eye approximately 1 week ago. Vision in the right eye remained normal and unchanged. She denied any fevers, chills, unintentional weight loss, headaches, pain with chewing, or scalp tenderness. She denies any history of smoking or illicit substance use.

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