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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 ... DIAGNOSTIC WORKUP
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Is it intermittent? Intermittent hemianopsia, whether it is bitemporal or homonymous in type, would suggest migraine, carotid artery insufficiency, or vertebral basilar artery insufficiency.
... DIAGNOSTIC WORKUP
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Is the onset acute or gradual? An acute onset would suggest optic neuritis, hypertensive encephalopathy, cerebral hemorrhage, ... DIAGNOSTIC WORKUP
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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 ... DIAGNOSTIC WORKUP
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Is it unilateral? Diplopia that is unilateral is rare, but it can be encountered in ectopia lentis as associated with Marfan's disease, as well as in congenital double pupil, ... DIAGNOSTIC WORKUP
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Papilledema is defined as swelling or edema of the optic discs; it is usually bilateral and is due to increased intracranial pressure. Clinically, the disk appears elevated and the margins appear indistinct or blurred with obscuring of... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Diplopia, or double vision, is a common ophthalmologic complaint. Diplopia may be horizontal, vertical, or diagonal. It occurs secondary to paralysis, paresis, and/or restriction of the extraocular muscles. Most... 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,... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Diplopia of sudden onset is more related to neurologic disease than to ocular disease. Other than space-occupying orbital lesions, most diplopia can be related to a neurologic disorder. The first causes that should come to mind are... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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True optic disc swelling or edema can be a very ominous sign. Papilledema is defined as disc swelling produced by increased ICP; it may be asymmetric, UL, or BL. Acutely, the vision, color vision, and... 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
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... No anatomic analysis of this condition is necessary because most cases of papilledema are caused by intracranial pathology. Three notable extracranial conditions are optic neuritis,
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... Most physicians know that double vision is a neurologic condition and may refer these cases immediately to a neurologist, but what about the cases of double vision with one eye closed
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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... Emergency interventions ... History and physical examination ... Pictures
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... Halo vision refers to seeing rainbowlike, colored rings around lights or bright objects. This effect can be explained by this physical principle: As light passes through water (in the... History and physical examination ... Medical causes ... Special considerations
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... Hemianopsia is a loss of vision in one-half of the normal visual field (usually the right or left half) of one or both eyes However, if the visual field defects are identical in both eyes but affect less than half the field of... History and physical examination ... Medical causes ... Special considerations ... 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... 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... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Diplopia is double vision — seeing one object as two. This symptom results when extraocular muscles fail to work together, causing images to fall on noncorresponding parts of the retinas. What causes this muscle incoordination? Orbital... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Halo vision refers to seeing rainbowlike colored rings around lights or bright objects. The rainbowlike effect can be explained by this physical principle: As light passes through water (in the eye, through tears or the cells of various... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Hemianopsia is loss of vision in one-half the normal visual field (usually the right or left half) of one or both eyes. However, if the visual field defects are identical in both eyes but affect less than half the field of vision... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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Scotoma
(Professional Guide to Signs & Symptoms (Fifth Edition))
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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... 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... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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Diplopia
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Diplopia is double vision—seeing one object as two. This symptom results when extraocular muscles fail to work together, causing images to fall on noncorresponding parts of the retinas. What causes this... 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... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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Papilledema
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Richard C. Mauer
Papilledema is optic disc swelling produced by increased intracranial pressure. The diagnostic assessment of papilledema is critical in that the underlying cause can range from a subarachnoid... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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Scotoma
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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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.... Approach ... History ... Physical examination ... Testin ... Diagnostic assessment
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Diplopia
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Richard C. Mauer
Diplopia, or true double vision, not simply blurred vision, can be a very useful clinical symptom. A range of problems can be limited to the eye or be as severe as an intracranial aneurysm.... Approach ... History ... Physical examination. Focused physical examination (PE) ... Testing ... Diagnostic assessment ... Pictures
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... Differential Overview
❑ Conjunctivitis
❑ Corneal abrasion
❑ Foreign body ... Diagnostic Approach ... Clinical Findings
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... Differential Overview
Diplopia
❑ Alcohol
❑ Diabetes
❑ Brainstem ischemia/lesion ... Diagnostic Approach ... Clinical Findings
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Eye pain
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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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... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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Vision loss
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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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... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other 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... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Halo vision refers to seeing rainbowlike, colored rings around lights or bright objects. Halo vision usually develops suddenly; its duration depends on the causative disorder.... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Hemianopsia is loss of vision in one-half the normal visual field (usually the right or left half) of one or both eyes. However, if the visual field defects are identical in both eyes but... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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Scotoma
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
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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... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Diplopia is the clinical term for double vision, or seeing one object as two. This symptom results when extraocular muscles fail to work together, causing images to fall on noncorresponding... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Halo vision refers to seeing rainbowlike, colored rings around lights or bright objects. This effect can be explained by the physical principle that as light passes through water (in... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Hemianopsia is a loss of vision in one-half of the normal visual field (usually the right or left half) of one or both eyes. However, if the visual field defects are identical in both... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Diplopia is double vision—seeing one object as two. This symptom results when extraocular muscles fail to work together, causing images to fall on noncorresponding parts of the retinas.... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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... 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... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
No anatomic analysis of this condition is necessary because most cases
of papilledema are caused by intracranial pathology. Three notable
extracranial conditions are optic neuritis, hypertension, and pseudotumor ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Most physicians know that double vision is a neurologic condition and
may refer these cases immediately to a neurologist, but what about the cases
of double vision with one eye closed?... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
