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24 Cards in this Set
- Front
- Back
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Comprehensive Exam needs how many characteristics of History of Present illness (HPI)?
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4
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Intermediate or Problem focus (level 2) need how many characteristics of HPI
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1-3
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what needs to be asked for secondary Sx
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TADD
Time of onset Association: aggravating factors/activity when noticed Duration: how long it lasts/ How often Description/Severity |
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OPQRST
O |
onset- when did it start?
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OPQRST
P |
Provocative: what makes it worse/ Cause of Sx
Palliative: what makes it vetter |
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OPQRST
Q |
Quality/Quantity
How does it feel, look, sound? How bad is it now compared to previous? Can you activities of daily life? |
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OPQRST
R |
Region/Radiation
does it move? does it radiate? does it change? Where does it occur? |
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OPQRST
S |
Severity / Scale
How bad is it? |
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OPQRST
T |
Timing
Time of day? Gradual/Abrupt? How often? Duration? |
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OLD CARTS
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Onset
Location Duration Character Aggravating/Alleviating factors Region/radiation Timing Severity/Scale |
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Who is most likely to have Accommodative spasm?
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under 35 yrs
"will have to hold closer to read" |
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Sx of Binocular Dysfunction
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Double vision (night/reading)
Discomfort around eyes words run together/skipping lines/lose of place reading |
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Who is likely to have Binocular Dysfunction?
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school age - 40 yrs
after near or video screens head tilt |
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Photopisa common causes
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short=Vitroretinal --> Floaters
20 min - Vascular --> Migraine |
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Asthenopia
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eye strain
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Most common cause for ache around eyes
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sinus or teeth
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Most common cause for irritation or burning eyes
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dry eyes
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Halo causes
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Younger: corneal/tears/CLS
- Glaucoma rare <45, common 80ys+ Older: Cataract |
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Consensual Photophobia Test
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pain in affected eye when light is shone in unaffected eye
--> Uveitis |
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Uveitis
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swelling and irritation of the uvea, the middle layer of the eye
iritis need to be dilated |
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Photophobia most common
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young blue eyes (idiopathic)
w/Uveitis |
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Vision Loss
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episodic: --> Vascular
Gradual/Constant loss --> retinal or Optical |
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ROS needs how many questions per system?
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3
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Affect
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how a person responds
NOT MOOD - observation of voice, facial expression or demeanor in response to topics |
