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EYE PAIN

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.

  1. M—Malformations most certainly suggest glaucoma and all the refractive disorders (e.g., astigmatism, myopia, hypermetropia).
  2. I—Inflammation accounts for most cases. One anatomically recalls conjuctivitis, keratitis, scleritis, corneal ulcers, iridocyclitis, and optic neuritis. Do not forget inflammation of the orbit. Vasculitis from temporal arteritis must be considered with obstruction of the retinal veins or arteries.
  3. N—Neoplasms are unlikely causes but must be considered.
  4. T—Trauma should suggest abrasions and foreign bodies, particularly those of the cornea.
Eye pain, like earache, may be referred. Cerebral neoplasms, migraine, and sinusitis may all present with orbital or retroorbital pain. An additional category of etiologies that is not common in earache is systemic disease. Any febrile disease may cause bilateral eye pain, particularly viral influenza.


EYE PAIN

Approach to the Diagnosis

The approach to the diagnosis of eye pain involves a careful search for inflammation of the various anatomic structures; then a drop or two of fluorescent dye is inserted and the cornea inspected for lacerations, herpes ulcers, and foreign bodies. Finally, tenometry may be done. Referral to an ophthalmologist is often necessary, but the astute clinician will want to x-ray the sinuses, ask about a history of migraine, do a visual field, and rule out systemic diseases beforehand.

Other Useful Tests

  1. Smear and culture of exudate (conjunctivitis)
  2. Smear for eosinophils (allergic conjunctivitis)
  3. Histamine test (cluster headaches)
  4. Sedimentation rate (temporal arteritis)
  5. X-ray of sinuses (sinusitis)
  6. Visual fields (glaucoma)
  7. Slit lamp examination (iriditis)
  8. CT scan of brain (tumors, abscess)
  9. Temporal artery biopsy (temporal arteritis)

Book Source Details

  • Book Title: Differential Diagnosis in Primary Care
  • Author(s): R. Douglas Collins
  • Year of Publication: 2007
  • Copyright Details: Differential Diagnosis in Primary Care, Copyright © 2007 Lippincott Williams & Wilkins.

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  • ARM PAIN
  • "Differential Diagnosis in Primary Care" (2007)
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  • HIP PAIN
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  • Leg pain
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  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
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  • Chest pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
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  • Eye pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
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  • Flank pain
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  • Jaw pain
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  • Abdominal Pain
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  • Chronic Pelvic Pain
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  • Hip Pain
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  • Knee Pain
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  • Neck Pain
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  • Shoulder Pain
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  • Eye Pain
  • "Field Guide to Bedside Diagnosis" (2007)
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  • "Field Guide to Bedside Diagnosis" (2007)
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  • Homans' sign
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
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  • Back pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
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  • Chest pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • [ read ]
  • Eye pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • [ read ]
  • Flank pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • [ read ]
  • Jaw pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • [ read ]
  • Neck pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • [ read ]
  • Homans' sign
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
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  • Leg pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
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  • Arm pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
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  • Back pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
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  • Breast pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
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  • Chest pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • [ read ]
  • Eye pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • [ read ]
  • Facial pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • [ read ]
  • Flank pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • [ read ]
  • Jaw pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • [ read ]
  • Neck pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • [ read ]
  • Rectal pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • [ read ]
  • Throat pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • [ read ]
  • Abdominal Pain
  • "The Diagnostic Approach to Symptoms and Signs in Pediatrics" (2006)
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  • Back Pain
  • "The Diagnostic Approach to Symptoms and Signs in Pediatrics" (2006)
  • [ read ]
  • Chest Pain
  • "The Diagnostic Approach to Symptoms and Signs in Pediatrics" (2006)
  • [ read ]
  • Leg pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • [ read ]
  • Arm pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • [ read ]
  • Back pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • [ read ]
  • Chest pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • [ read ]
  • Flank pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • [ read ]
  • Jaw pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • [ read ]
  • Neck pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • [ read ]
  • LEG PAIN
  • "Differential Diagnosis in Primary Care" (2007)
  • [ read ]
  • ARM PAIN
  • "Differential Diagnosis in Primary Care" (2007)
  • [ read ]
  • EYE PAIN
  • "Differential Diagnosis in Primary Care" (2007)
  • [ read ]
  • HIP PAIN
  • "Differential Diagnosis in Primary Care" (2007)
  • [ read ]
 

Copyright Details: Differential Diagnosis in Primary Care, Copyright © 2008 Williams & Wilkins.

More About Causes of Calf pain



More About This Book:
Title: Differential Diagnosis in Primary Care
Authors: R. Douglas Collins
Publisher: Lippincott Williams & Wilkins
Copyright: 2007
ISBN: 0-7817-6812-8

 » Next page: FACIAL PAIN (Differential Diagnosis in Primary Care)

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