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PPO2 > Lecture 2 case history > Flashcards

Lecture 2 case history Flashcards

1
Q

What is a patients consitituion?

A

how they generally feels, fever, well, achy

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2
Q

T/F you want to review the 10 body systems with the patient

A

T

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3
Q

To record follow up case history and problem focused history use SOAP-what does it stand for

A

subjective-chief complaint
objective-exam observations and findings
assesment, diagnosis
plan, treatment

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4
Q

tentaive diagnosis with rings around lights/streaks from light

A

corneal swelling, dirty contacts, cataracts, dry eyes,

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5
Q

If a shadow occurs around letters most likely (myopia/astigmatism/cataracts/hyperopia)

A

cataracts, astigmatism

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6
Q

T/Fwhen a pt sees flashes of lights its called photopsia

A

T

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7
Q

When a pt sees floaters , you want to as them what?

A

recent onset or longstanding
changes in shape/size/frequency
-associated with flashes

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8
Q

T/f if pt has longstanding unchaned floaters it is less concerning

A

T

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9
Q

T/F new onset, changing or assiated with flashes may make retinal exam a priority

A

T

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10
Q

If diploplia is monocular what are the possible problems?

(retinal/optical/vergence/neurological )-pick two

A

optical or retinal

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11
Q

If diploplia is binocular what are the possible problems?

(retinal/optical/vergence/neurological )-pick two

A

vergence, neurologic

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12
Q

When words blur after 10+20 minutes of new work and are blurry at distance and feel strained after near work describes (accommodative dysfunction/myopia/hyperopia)

A

accommodative dysfunction

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13
Q
  • Double vision at night
  • Double vision when reading
  • Discomfort around eyes
  • Word run together or move when reading
  • Skipping lines or losing place when reading
A

binocular dysfucniton/vergence dysfunciton

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14
Q

Vague eye discomfort arising from use of the eyes may consist of eyestrain, headach, and or browache desribes :
(astigmatism/asthenopia/aspirate)

A

asthenopia

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15
Q

Abnormal sensitivity to light
Usually associated with infection /trauma
descibes (ashthenopia/photophobia/ocular discomfort)

A

photophobia

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16
Q

-_____can have a multitude of causes
Related/unrelated causes
Take all complaints of ____ very seriously
Explore possible reasons for the ____ in the ____history
(fill in blank with the same word for all)

A

headache

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17
Q

Refer/consult
Visual Field exam
Neuro- exam
–ALL are test strategy for ?

A

headaches

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18
Q

Testing Strategy for (photophobia/accomodation)
Dry eye evaluation
Careful evaluation for uveitis

A

photophobia

19
Q

Testing Strategy for (accommodative dysfunciton/myopia/hyperiopia)
Visual Efficiency Evaluation work up for patient <35y
Near work/presbyopia work up for patient over 35y

A

accommodative dysfunction

20
Q

T/F case history only happens at the very beginning of an exam

A

F Case history continues throughout the exam

21
Q
  • Computer Users
  • Contact Lens Wearers
  • “Red Eye”
  • Geriatric
  • Pediatric
  • Trauma
  • Headaches
  • -all of these describe?
A

special case histories

22
Q
  • Fatigue or strain
  • Brow aches or head aches
  • Blur at near
  • Blur at distance at the end of the day
  • Dry eye complaints: gritty, sandy
  • -all describe symptoms of (trauma/red eye/computer users)
A

computer users

23
Q

Is there a source of intrusive light behind you?
How is the ambient lighting in your office?
How often do you take breaks?

–all these questions would be asked to a (trauma pt./computer user/red eye pt)

A

computer user

24
Q

-How long have you worn them today?
-Do you nap in your lenses?
-How many nights a week do you sleep in your lenses?
-Have you ever been treated for a red/ eye/ infection/ abrasion?
-How do you clean and disinfect your lenses? -Which care system?
-Do you currently have any problems with your lenses/wear?
ARe some questions to ask ___ wearers

A

CL

25
Q

Besides FODLARS what other question would you ask a pt. with red eye?

A

allergies/contraindictions–important to know if you are plannign to treat with medications

26
Q

T/F a parent or care giver doen’t need to be present at all times in pediatric exams

A

F Parent or care giver must be present at all times

27
Q

T/F Written consent must be obtained for dilation in a pediatric exam

A

T

28
Q
  • If child was full term delivery
  • About unusual habits- reading too close, head tilts, squints
  • How is the child performing in school
  • Ask if child rubs eyes, has redness or crusting
A

these are all questions to ask in pediatric exams

29
Q

T/F in geriatric exams a family member must alwasy be present

A

F A family member may be present and give history

30
Q

T/F you do not need to confirm with the patient for privacy in an exam if family member is present already (during geriatric exam)

A

F Be sure to check with the patient that that person may be present in the exam room!
Ask if the patient prefers to be seen privately

31
Q

T/F Any further communications may occur only if the person is specifically listed in the patient’s HIPPA file. (in geriatric exam)

A

T

32
Q

T/F you do not need to document the name and relationship of the historian in the chart

A

F YOU DO!

33
Q
  • Dizziness or stroke?
  • Has your vision affected the quality of your life?
  • Any recent changes in your vision?
  • -these are additional questions to ask in a (pediatric/geriatric) exam
A

geriatric

34
Q

Only about __% of headaches are eye related

A)50
B)30
C)20
D)40

A

20

35
Q

T/F you want the pt to describe the type of headache they have if any for example bilateral, achy, dull, worse at the end of the day, or improved by a nap

A

T

36
Q
  • Tension
  • sinus
  • migraine
  • cluster
  • mass effect
  • -all describe what?
A

types of headaches

37
Q

Stress realated band like describe (tension/sinus) headaches

A

tension

38
Q

history of allergies, behind eyes or right through eyes, gravity increases frontal pain :describe (tension/sinus) headaches

A

sinus

39
Q
  • Usually male, episodic, chronic knife-like pain
  • Pacing
  • Unilateral pain, associated with unilateral stuffy/running nose

–all describe what type of headache
(migraine/cluster/mass effect)

A

cluster headache

40
Q
  • Pulsating, throbbing
  • Can last several days
  • Dark room, sleep
  • May be associated with aura
  • Triggers: food, cheese, wine, chocolate, MSG, aspartame
  • Photophobia and phonophobia
  • More common in females

–all describe what type of headache
(migraine/cluster/mass effect)

A

migraine

41
Q

Worst headache of my life =aneurysm until proven otherwise!

–all describe what type of headache
migraine/cluster/mass effect

A

mass effect

42
Q

Brain tumor, meningitis, aneurysm, increased intracranial pressure
Typically intermittent, deep and aching (non-throbbing)
Sub-acute and gets worse over days to weeks
Worse in the morning =red flag
Worse when lying down
Wakes patient from sleep= red flag
Associated with vomiting with/without nausea

–all describe what type of headache
(migraine/cluster/mass effect)

A

mass effect

43
Q

T/F hypoglycemia, hypertension, can give headaches

A

T

PPO2 (15 decks)

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