Clinical Case Database / Category: Patient Management
An ethical dilemma in ophthalmology understanding the patient's agenda
Gwyn Samuel Williams, MRCS (Eng), DOHNS, Mahmoud Radwan, MBBS, Raghu Ram, FRCOphth
Foundation Years Journal, volume 6, issue 10, p.22 (123Doc Education, London, November 2012)
We present the case of a young woman presenting with retrobulbar neuritis in which the disease course becomes increasingly bizarre until it is realised that the correct diagnosis is that of malingering. We discuss the pitfalls in diagnosing and treating retrobulbar neuritis generally, as well as the medico-legal minefield of non-organic visual loss. Some tests for diagnosing non-organic visual loss are discussed as well as the importance of remaining professionally detached in these and other similar cases in which the patient's actions can have profound effects on our emotions.
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Gwyn Samuel Williams, MRCS (Eng), DOHNS
Department of Ophthalmology
Royal Glamorgan Hospital
Mahmoud Radwan, MBBS
Raghu Ram, FRCOphth
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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