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Dr. Huntley's
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Symptoms » Bulging eyes » Diagnosis Checklist
 
Dr. Huntley's

DIAGNOSIS CHECKLIST
for Bulging eyes

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques in his assesment of the symptom: Bulging eyes. These may include a physical examination or other medical tests. Your doctor may ask several questions when assessing your condition. It is important to remember that your consultation is a two-way process and any extra information you can share with your doctor may help them with their diagnosis.

Some of the questions your doctor may ask are listed below:

  1. How long have you noticed the bulging eyes?

    Why: to determine if acute or chronic.

  2. Are one or both eyes affected?

    Why: If bilateral suggests Graves's disease. If unilateral may suggest tumors of the orbit (e.g. dermoid, optic nerve glioma, neurofibroma, granuloma), Cavernous sinus thrombosis, Grave's disease or pseuotumors of the orbit.

  3. Recent medical history?

    Why: e.g. sinusitis or ear infections may be complicated and followed by Cavernous sinus thrombosis which may cause unilateral bulging eye.

  4. Past medical history?

    Why: e.g. risk factors for Cavernous sinus thrombosis include congenital heart disease, systemic cancer, polycythaemia and sickle cell anemia.

  5. Medications?

    Why: oral contraceptive pill may increase risk of Cavernous sinus thrombosis.

Questions your doctor may ask about related symptoms:

Sometimes, other symptoms may be present and may help your doctor analyse your condition. These may include:

  1. Symptoms of Grave's disease e.g. preference for cooler weather, increased appetite, heart palpitations, increased sweating, nervousness, irritability, diarrhea, lack of menstrual periods
  2. Symptoms of Cavernous sinus thrombosis and thrombophlebitis?

    Why: e.g. concurrent sinus infection, fever, headache, nausea, vomiting, eye pain, tender orbit, swelling and blueness of the upper face, paralysis of the one or more of the muscles that move the eye.


 » Next page: Types of Bulging eyes

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