ABSTRACT
Examination generally involves looking for specific signs to clarify a diagnosis rather than following a set pattern – remember that the examination should be focused. Addressing the patient's welfare and concerns is vital in brief clinical encounters station. This chapter presents a case study of a 30-year-old lady with a family history of diabetes mellitus had a glucose tolerance test 6 months ago and was found to have impaired fasting glycaemia. Nature of visual disturbance: Diplopia or blurred vision, floaters/flashing lights, visual loss. Since then, she has been complaining of headaches and visual disturbance, getting much worse in the last 2 weeks. She does not usually wear glasses and wants to know what can be done to improve the symptoms. Duration of visual disturbance: Stable or deteriorating. Headaches: Worse in morning, on bending/coughing/sneezing/vomiting, nausea.
