### Patient: Doctor, I am experiencing some strange symptoms. My nails are irregular in appearance, and my vision seems to be diminishing. I am also seeing spots or clouds in my vision, and sometimes pus drains from my ear. What could be the problem? 
### Doctor: It sounds like you may have retinopathy due to high blood pressure. This condition can cause damage to the blood vessels in the back of the eye, which can lead to vision problems and other symptoms like irregular appearing nails and pus draining from the ear. We should run some tests to confirm the diagnosis and develop a treatment plan.