MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A 71-year-old woman is referred for raised inflammatory markers. Repeat questioning identifies new headache and jaw pain while chewing. She has just experienced brief blurred vision.
Which feature changes the priority immediately?
The visual symptom with cranial features raises concern for giant cell arteritis and ischaemic risk. Arrange urgent assessment rather than waiting for another CRP or a distant appointment. Specialist imaging should document the hypothesis within a pathway that protects vision. If suspicion is strong with ischaemic visual symptoms, indicated medical treatment must start immediately, without waiting for imaging or biopsy.