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Symptoms » Eye symptoms » Book Sections
 

SCOTOMA

Ask the Following Questions:

  1. Is it transient? If the scotomas are transient, then migraine, transient ischemic attacks, and retrobulbar neuritis should be suspected.
  2. Are there abnormalities on the eye examination other than the optic nerve? On a careful eye examination, the clinician may find corneal opacities, muscae volitantes, cataracts, choroiditis, glaucoma, retinitis, retinal hemorrhage, and detached retina.
  3. Are there other neurologic signs? The presence of other neurologic signs may suggest multiple sclerosis, carotid artery thrombosis or insufficiency, basilar artery thrombosis or insufficiency, and pseudotumor cerebri, among other disorders.

DIAGNOSTIC WORKUP

This should include a careful eye examination with slit lamp, tonometry, and visual field examinations. If the initial findings suggest an ocular disorder, referral to an ophthalmologist should be made. If the neurologic examination is abnormal, the patient should be referred to a neurologist, rather than ordering expensive tests such as a CT scan, MRI scan, VEP studies, angiography, and spinal fluid examinations.

 

Book Source Details

  • Book Title: Algorithmic Diagnosis of Symptoms and Signs
  • Author(s): R. Douglas Collins
  • Year of Publication: 2003
  • Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2003 Lippincott Williams & Wilkins.

Other Book Chapters Related to Eye symptoms

Read excerpts from these other book chapters related to Eye symptoms:

Medical Books Excerpts
  • DIPLOPIA
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • [ read ]
  • EYE PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • [ read ]
  • NYSTAGMUS
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • [ read ]
  • PAPILLEDEMA
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • [ read ]
  • SCOTOMA
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • [ read ]
  • Red Eye
  • "In a Page: Signs and Symptoms" (2004)
  • [ read ]
  • Diplopia
  • "In A Page: Pediatric Signs and Symptoms" (2007)
  • [ read ]
  • Nystagmus
  • "In A Page: Pediatric Signs and Symptoms" (2007)
  • [ read ]
  • EYE PAIN
  • "Differential Diagnosis in Primary Care" (2007)
  • [ read ]
  • NYSTAGMUS
  • "Differential Diagnosis in Primary Care" (2007)
  • [ read ]
  • RED EYE
  • "Differential Diagnosis in Primary Care" (2007)
  • [ read ]
  • Diplopia
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • [ read ]
  • Eye pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • [ read ]
  • Nystagmus
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • [ read ]
  • Scotoma
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • [ read ]
  • Nystagmus
  • "A Pocket Manual of Differential Diagnosis" (1999)
  • [ read ]
  • Eye discharge
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • [ read ]
  • Diplopia
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • [ read ]
  • Nystagmus
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • [ read ]
  • Scotoma
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • [ read ]
  • Raccoon eyes
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • [ read ]
  • Diplopia
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • [ read ]
  • Nystagmus
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • [ read ]
  • Papilledema
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • [ read ]
  • Red Eye
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • [ read ]
  • Scotoma
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • [ read ]
  • Eye Pain
  • "Field Guide to Bedside Diagnosis" (2007)
  • [ read ]
  • Red Eye
  • "Field Guide to Bedside Diagnosis" (2007)
  • [ read ]
  • Eye pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • [ read ]
  • Ocular deviation
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • [ read ]
  • Diplopia
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • [ read ]
  • Eye pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • [ read ]
  • Nystagmus
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • [ read ]
  • Scotoma
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • [ read ]
  • Nystagmus
  • "The Diagnostic Approach to Symptoms and Signs in Pediatrics" (2006)
  • [ read ]
  • Red Eye
  • "The Diagnostic Approach to Symptoms and Signs in Pediatrics" (2006)
  • [ read ]
  • Diplopia
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • [ read ]
  • Nystagmus
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • [ read ]
  • Scotoma
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • [ read ]
  • EYE PAIN
  • "Differential Diagnosis in Primary Care" (2007)
  • [ read ]
  • NYSTAGMUS
  • "Differential Diagnosis in Primary Care" (2007)
  • [ read ]
  • RED EYE
  • "Differential Diagnosis in Primary Care" (2007)
  • [ read ]
 

Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2008 Williams & Wilkins.

More About Causes of Eye symptoms



More About This Book:
Title: Algorithmic Diagnosis of Symptoms and Signs
Authors: R. Douglas Collins
Publisher: Lippincott Williams & Wilkins
Copyright: 2003
ISBN: 0-7817-3805-9

 » Next page: Diplopia (In a Page: Signs and Symptoms)

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