13th August 2020

A 20-year-old drama student, Jane, attends a GP appointment with her mother who is very concerned

A 20-year-old drama student, Jane, attends a GP appointment with her mother who is very concerned. Jane presents with a month’s history of dysphagia and you notice a slight dysarthria, which her mum confirms is new onset. Her mum also explains that Jane’s mood has been very erratic over the past year and a half, featuring depressive episodes and disruptive behaviour such as arriving at lectures drunk. She has failed her second year of university despite thriving in her first year. Enquiry about family history reveals that Jane’s father died from non-alcohol related liver cirrhosis at the age of 44. Ophthalmological examination shows that Jane’s blue eyes have a copper-coloured arc on the superior aspect of the iris bilaterally, which Jane confirms as new. What is the ophthalmological finding?

For the patient above, please select the most appropriate diagnosis. Select ONE option from the list above.