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Linda Lambert, 39, sees her FP, Dr. Black, for an acute episode of unilateral decreased visual acuity with eye pain. She had a similar episode about 5 years ago that resolved fully. She saw her FP in her home province at the time but can’t recall the details of the diagnosis or treatment. She remembers that she had been too busy at that time to follow through on tests that had been ordered. Dr. Black arranges for an urgent consultation with an ophthalmologist.
The ophthalmologist, Dr. Hine, sees Linda the next day in his office. He diagnoses optic neuritis and is concerned this may be related to multiple sclerosis (MS). As a result, he refers Linda to a neurologist.
The MRI is done 6 weeks later at the local tertiary care hospital. The radiologist reviews the images and creates a report of the findings, which include three white matter lesions.
Linda sees the neurologist, Dr. Lewis, two weeks later in her community office. She feels that Linda likely has MS and orders some further investigations, including a lumbar puncture and blood work.
The next day, Linda goes to a lab in the community where blood is drawn. The following week she has the lumbar puncture done at the tertiary care hospital.
Two weeks later Linda sees Dr. Lewis again. Dr. Lewis has been able to review the lab results and these, along with the MRI, are strongly suggestive of MS. She refers Linda to the MS clinic.
One month later, Linda is seen for the first time at the local MS clinic.
| General Info | |
|---|---|
| Name | 4.1 MS Storyboard Diagram |
| Type | Use Case Diagram |
