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Is there redness of the eye? Redness of the eye suggests definite eye pathology. Without redness, one should suspect disease in the adjacent structures or retrobulbar neuritis.
If there is redness, is ... DIAGNOSTIC WORKUP
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Is the nystagmus pendular? Pendular nystagmus without a fast or slow component suggests ocular nystagmus due to albinism, partial blindness, or other ocular disorders.
Is it intermittent or fatigable? ... DIAGNOSTIC WORKUP
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Nystagmus is defined as involuntary, rhythmic, biphasic oscillation of eyes. It is characterized as horizontal, vertical, rotary, or a combination; fast or slow; symmetric or asymmetric; and pendular (equal speed in either direction) or jerk (slow in one... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Nystagmus is defined as involuntary rhythmic oscillations of the eyes. The finding is usually bilateral, and the abnormal movements occur identically in both eyes. Ophthalmologists distinguish between types of nystagmus by the direction of the eye movements; they may be rotatory,... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... Applying the mnemonic MINT to the various anatomic parts of the eye will aid in systematically developing a list of diagnostic possibilities for eye pain.
M—Malformations most certainly suggest glaucoma and all the
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... Why not consider the differential diagnosis of nystagmus under vertigo, because anatomic pathophysiology is the key to the differential in both? The reason is that there are two forms of nystagmus (ocular and cerebellar) that do not necessarily occur with vertigo. In addition to these
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... Anatomy can assist one greatly in formulating a differential diagnosis of tremor of hepatic coma, Wilson disease, and alcoholism. The thyroid brings to mind the tremor of Graves disease. The kidneys signify the tremor of uremia
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Eye pain may be described as a burning, throbbing, aching, or stabbing sensation in or around the eye. It may also be characterized as a foreign-body sensation. This sign varies from mild to severe; its duration and exact location provide clues to the causative disorder. ... Emergency interventions ... History and physical examination ... Pictures
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... Ocular deviation refers to abnormal eye movement that may be conjugate (both eyes move together) or disconjugate (one eye moves separately from the other). This common sign may result from ocular, neurologic, endocrine, and systemic disorders that interfere with the muscles, nerves, or... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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... Nystagmus refers to the involuntary oscillations of one or, more commonly, both eyeballs. These oscillations are usually rhythmic and may be horizontal, vertical, rotary, or mixed. They may be transient or sustained and may occur spontaneously or on deviation or fixation of the eyes.... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Pendular*
Congenital
Spasmus nutans
Associated with bilateral central loss of vision before 2 years of age
Albinism
 
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... Ocular deviation refers to abnormal eye movement that may be conjugate (both eyes move together) or disconjugate (one eye moves separately from the other). This common sign may result from ocular, neurologic, endocrine, and systemic disorders that... Emergency Interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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... Nystagmus refers to the involuntary oscillations of one or, more commonly, both eyeballs. These oscillations are usually rhythmic and may be horizontal, vertical, rotary, or mixed. They may be transient or sustained and may occur spontaneously or on... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Eye pain may be described as a burning, throbbing, aching, or stabbing sensation in or around the eye. It may also be characterized as a foreign-body sensation. This sign varies from mild to severe; its duration and exact location provide clues to the... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Michael J. Puk
Nystagmus is an involuntary, rhythmically repeated oscillation of one or both eyes in any or all fields of gaze. Eye movements are coordinated by smooth pursuit and saccadic eye systems (1). An example of these two systems is... Approach ... History ... Physical examination ... Diagnostic assessment ... Testing
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... Differential Overview
❑ Conjunctivitis
❑ Corneal abrasion
❑ Foreign body
❑ Sinusitis ... Diagnostic Approach ... Clinical Findings
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... Differential Overview
Diplopia
❑ Alcohol
❑ Diabetes
❑ Brainstem ischemia/lesion
❑ ... Diagnostic Approach ... Clinical Findings
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... Differential Overview
❑ Diabetes
❑ Depression
❑ Inadequate intake
❑ Drugs
❑ Hyperthyroidism ... Diagnostic Approach ... Clinical Findings ... Pictures
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... Eye pain may be described as a burning, throbbing, itching, aching, or stabbing sensation in or around the eye. It may also be characterized as a foreign-body sensation. This sign varies from mild to severe; its duration and exact location provide clues to the causative disorder. ... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Ocular deviation refers to abnormal eye movement that may be conjugate (both eyes move together) or disconjugate (one eye moves separately from the other). This common sign may result from ocular, neurologic, endocrine, and systemic disorders that interfere with the muscles, nerves... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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... Eye pain, or ophthalmalgia, may be described as a burning, throbbing, aching, or stabbing sensation in or around the eye. It may also be characterized as a foreign-body sensation. This sign varies from mild to severe; its duration and exact location provide clues to... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Ocular deviation refers to abnormal eye movement that may be conjugate (both eyes move together) or disconjugate (one eye moves separately from the other). This common sign may result from ocular, neurologic, endocrine, and systemic disorders that interfere with the muscles,... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Nystagmus refers to the involuntary oscillations of one or, more commonly, both eyeballs. These oscillations are usually rhythmic and may be horizontal, vertical, rotary, or mixed. They may be transient or sustained and may occur spontaneously or on deviation or... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Nystagmusis the rhythmic to and fro oscillation of the eyes in any or allfields of gaze. Described by type (jerk or pendular),direction (horizontal, vertical, torsional), amplitude (small, medium,large), frequency (low, moderate, high), and gaze ... Principal Causes of Nystagmus ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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...Purposeless movements that occur at restand usually disappear during sleep. >1 type can occur in thesame individual. Principal Causes of Involuntary Movements Tics Transienttic disorder Tourette syndrome Drugs ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Ocular deviation refers to abnormal eye movement that may be conjugate (both eyes move together) or disconjugate (one eye moves separately from the other). This common sign may result from ocular, neurologic, endocrine, and systemic disorders that... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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... Nystagmus refers to the involuntary oscillations of one or, more commonly, both eyeballs. These oscillations are usually rhythmic and may be horizontal, vertical, rotary, or mixed. They may be transient or sustained and may occur spontaneously or on deviation or... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
... Eye pain may be described as a burning, throbbing, aching, or stabbing sensation in or around the eye. It may also be characterized as a foreign-body sensation. This sign varies from mild to severe; its duration and exact location provide clues to the... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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...
Applying the mnemonic MINT to the various anatomic parts of the
eye will aid in systematically developing a list of diagnostic possibilities
for eye pain.
M—Malformations most certainly suggest glaucoma and all the
refractive... Pictures
... READ EXCERPTS »
...
Why not consider the differential diagnosis of nystagmus under vertigo,
because anatomic pathophysiology is the key to the differential in
both? The reason is that there are two forms of nystagmus (ocular and
cerebellar) that do... Pictures
... READ EXCERPTS »
...
Anatomy can assist one greatly in formulating a differential
diagnosis of tremor of hepatic coma, Wilson disease, and alcoholism. The
thyroid brings to mind the tremor of Graves disease. The
kidneys signify the tremor of uremia and electrolyte... Pictures
... READ EXCERPTS »