5th April 2024

A 46-year-old joiner has recently presented to his GP with swelling of his face

A 46-year-old joiner has recently presented to his GP with swelling of his face, headaches and difficulty standing from sitting. He has also noticed a deterioration in his vision and on examination his peripheral vision is reduced on both sides. The patient has noticed these visual symptoms are worse when looking up at the top shelf of his kitchen cupboards or when climbing up a ladder.

What is the most likely cause of this patient’s symptoms?

Select the SINGLE most appropriate option from the list below. Select ONE option only.