What diagnosis does the nurse anticipate

Reference no: EM133320850

Assignment:

Jade Anderson is a 72-year-old female retired CEO who presents to the nurse practitioner led clinic complaining of the onset of decreased vision in her left eye. She reports that approximately 2 weeks ago she noticed a "black spot" close to the centre of her vision. The spot is present with both near and far vision and does not move away. The vision in the left eye has been "slightly blurred for a while". She denies any recent trauma, eye pain, redness, or discharge. Jade is myopic and has been wearing corrective lenses since she was nine years old.

Past medical history

No prior eye surgery
No history of eye trauma, amblyopia, or strabismus
Hypertension
Hypercholesterolemia
Coronary artery disease
Myocardial infraction - 5 years ago; drug eluting stent inserted

Past surgical history

C-sections x 2
Appendectomy - 15 years ago

Medications

Aspirin 81 mg daily
Clopidogrel 75 mg daily
Atorvastatin 40 mg daily
Lisinopril 10 mg daily

Social history

Past 50 pack/year smoking history; has reduced to "an occasional cigarette now and then when I feel really stressed"
Lives in a large 2-story home with supportive husband
Two alcoholic drinks ("typically white wine") per day (at lunch and dinner)
Goes to the gym twice a week for yoga classes which is her "only exercise for the week"
Loves gardening and playing with her 5 young grandchildren (all pre-schoolers)
Takes care of the grandchildren after school on 2 or 3 days per week

Family history

Father developed cataracts in his sixties; corrected via surgery
Mother diagnosed with breast cancer in her seventies; treated with chemotherapy and bilateral mastectomy; no recurrence
Maternal grandfather had "bad eyesight"; no further information available

Functional history

Fully independent in all activities of daily living
"Driver of the family" since "husband's driver license was suspended 7 years ago due to a seizure disorder"
Receives no professional services at home

Physical examination

Height: 165 cm (5 feet 5 inches)
Weight: 70 kg (185 lbs)
BP: 135/88 mm Hg (supine)
Visual acuity: Right eye (OD): 20/30; Left eye (OS): 20/100
Pupils: equal, round, and reactive to light

The nurse practitioner refers Jane to a medical specialist who confirms the anticipated diagnosis.

Questions:

What diagnosis does the nurse anticipate? You shall justify, explain, and discuss your answer based on the clinical scenario presented above.

Reference no: EM133320850

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