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    December 2018.docx 1

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    Muhammad Haneef
    Mr. Brendan Macalaque, a 45-year-old teacher, presented with blurred and double vision which he attributed to anxiety. He had been in a motor vehicle accident four months prior which resulted in head injuries including brain contusions and fractures to his right leg. On examination, his vision was decreased to 6/9 and he had limited pupillary movement and conjugate gaze. He was referred to a neuro-ophthalmologist for further evaluation and review in two weeks.

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    December 2018.docx 1

    Uploaded by

    Muhammad Haneef
    23 views2 pages
    Mr. Brendan Macalaque, a 45-year-old teacher, presented with blurred and double vision which he attributed to anxiety. He had been in a motor vehicle accident four months prior which resulted in head injuries including brain contusions and fractures to his right leg. On examination, his vision was decreased to 6/9 and he had limited pupillary movement and conjugate gaze. He was referred to a neuro-ophthalmologist for further evaluation and review in two weeks.

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    December 2018.Docx 1

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    Mr. Brendan Macalaque, a 45-year-old teacher, presented with blurred and double vision which he attributed to anxiety. He had been in a motor vehicle accident four months prior which resulted in head injuries including brain contusions and fractures to his right leg. On examination, his vision was decreased to 6/9 and he had limited pupillary movement and conjugate gaze. He was referred to a neuro-ophthalmologist for further evaluation and review in two weeks.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    23 views2 pages

    December 2018.docx 1

    Uploaded by

    Muhammad Haneef
    Mr. Brendan Macalaque, a 45-year-old teacher, presented with blurred and double vision which he attributed to anxiety. He had been in a motor vehicle accident four months prior which resulted in head injuries including brain contusions and fractures to his right leg. On examination, his vision was decreased to 6/9 and he had limited pupillary movement and conjugate gaze. He was referred to a neuro-ophthalmologist for further evaluation and review in two weeks.

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    of 2

    OCCUPATIONAL ENGLISH TEST

    DECEMBER 2018
    WRITING SUBTEST
    TIME: Reading time : 5 minutes
    Writing time: 40 minutes
    Case note:

    Patient Name: Mr Brendan Macalaque,

    DOB: 02.09.1973

    Occupation: Teacher (currently on leave)

    Social history:

    Lives with parents.

    Does not drink.

    Smokes 10-15 cigarettes/day for 30 years

    Past medical history:

    Unremarkable

    Objectives:

    19/O1/18:

    Diagnosed as a case of Anxiety disorder (panic attack, depression?)

    23/9/18:

    Admission to hospital following MVA (motor vehicle accident)

    Head injury (frontal lobe brain)

    CT - several cerebral contusion

    Also two right leg fractures (and an oblique fracture of right femur).

    30/10/18:

    Discharge from hospital and rehabilitation centre admission

    19/11/18:

    Discharge from rehabilitation centre - home with community rehabilitation

    02/12/2018:

    Presented with visual disturbances:

    Complained ‘blurred vision and double vision’


    Thinks vision problem due to the anxiety

    Headache regularly 2-3 times weekly.

    Headache and anxiety - feels well by Panadol and Prozac

    Eye test :

    Vision- 6/9 (decreased)

    Wear glasses

    Pupillary movement: limited

    Conjugate gaze

    Pupillary appearance- normal

    Pupillary reaction-intact

    Diagnosis:

    Diplopia(?Cranial nerve abnormality)

    Plan: Referral to Neuro-ophthalmologist and review in two weeks times.

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