ABSTRACT
You are reviewing patients in the medical outpatient clinic. Your next patient has been referred by his general practitioner with the following letter. Please read the letter and then review the patient.
Dear Doctor,
Re: Ronald Smith
Thank you for seeing this 48-year-old gentleman. He recently experienced painless loss of sight in his right eye for approximately 10 minutes. The sight recovered spontaneously and he has not had any further problems since then.
I have been treating him for hypertension with atenolol 100 mg od, but this remains poorly controlled. He is a smoker of 30 cigarettes/day and I suspect he has a heavy alcohol intake. Please advise on the further management for this man.
Many thanks for your advice.
Yours sincerely,
