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Is it transient? If the scotomas are transient, then migraine, transient ischemic attacks, and retrobulbar neuritis should be suspected.
Are there abnormalities on the eye examination other than the optic nerve? On a careful eye ... DIAGNOSTIC WORKUP
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Vision loss may be unilateral or bilateral; transient or persistent; of sudden or gradual onset; and painless or painful. Vision loss in one eye may be followed quickly by ensuing vision loss of the other eye, rendering the patient completely... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Sudden decrease of vision is usually an ominous sign. Most often the cause of permanent loss is at the retinal or optic nerve level. For the optic nerve to be associated there must be inflammation. For the retina to be the cause, there must be hemorrhaging or edema. Neurologic... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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By definition, 3% of normal children are short: A height 2 standard deviations (SD) below the mean for age. Dwarfism is defined as height more than 3 SD below the mean; midget is a dwarf with normal body proportions. Growth failure (worth careful evaluation) defined as: (1) height... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... A scotoma is an area of partial or complete blindness within an otherwise normal or slightly impaired visual field. Usually located within the central 30-degree area, the defect ranges from absolute blindness to a barely detectable loss of visual acuity. Typically, the... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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... Vision loss — the inability to perceive visual stimuli — can be sudden or gradual and temporary or permanent. The deficit can range from a slight impairment of vision to total blindness. It can result from an ocular, a neurologic, or a systemic disorder or from trauma or the use... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Near drowning refers to surviving — temporarily, at least — the physiologic effects of hypoxemia and acidosis that result from submersion in fluid. Hypoxemia and acidosis are the primary problems in victims of near drowning.
Near drowning occurs... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... A scotoma is an area of partial or complete blindness within an otherwise normal or slightly impaired visual field. Usually located within the central 30-degree area, the defect ranges from absolute blindness to a barely detectable loss of visual acuity. Typically, the... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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... Vision loss—the inability to perceive visual stimuli—can be sudden or gradual and temporary or permanent. The deficit can range from a slight impairment of vision to total blindness. It can result from an ocular, a neurologic, or a systemic... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Michael J. Puk
Scotoma is defined as a blind or partially blind area in the visual field. A basic understanding of neuroanatomy helps to localize the visual field defect. Simply put, pathology anterior to the optic chiasm produces monocular... Approach ... History ... Physical examination ... Testin ... Diagnostic assessment
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... Robert M. Theal
Shortness of breath, or dyspnea, accounts for 3.7% of all visits to medical clinics (1).
Approach The initial history, physical examination, and chest x-ray (CXR) study are diagnostic... History ... Physical examination ... Testing ... Diagnostic assessment ... Pictures
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... Near drowning refers to surviving — temporarily, at least — the physiologic effects of hypoxemia and acidosis that result from submersion in fluid. Hypoxemia and acidosis are the primary problems in victims of near drowning. ... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... The inability to perceive visual stimuli, vision loss can be sudden or gradual and temporary or permanent. The deficit can range from a slight impairment of vision to total blindness. It can result from an ocular, neurologic, or systemic disorder or from trauma or the use of... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... A scotoma is an area of partial or complete blindness within an otherwise normal or slightly impaired visual field. Usually located within the central 30-degree area, the defect ranges from absolute blindness to a barely detectable loss of visual acuity.... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Vision loss — the inability to perceive visual stimuli — can be sudden or gradual and temporary or permanent. The deficit can range from a slight impairment of vision to total blindness. It can result from an ocular, a neurologic,... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... A scotoma is an area of partial or complete blindness within an otherwise normal or slightly impaired visual field. Usually located within the central 30-degree area, the defect ranges from absolute blindness to a barely detectable loss of visual... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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... Vision loss—the inability to perceive visual stimuli—can be sudden or gradual and temporary or permanent. The deficit can range from a slight impairment of vision to total blindness. It can result from an ocular, neurologic, or... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Mercedes M. Blackstone, MDKathy N. Shaw, MD (4th Edition) Near Drowning - BASICS Near Drowning - description Drowning is a respiratory impairment from submersion in a liquid medium. ... Near Drowning - DIAGNOSIS ... Near Drowning - TREATMENT ... Near Drowning - FOLLOW UP ... Near Drowning - bibliography ... Near Drowning - CODES ... Near Drowning - FAQ
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