Ophthalmology Histories Flashcards
What questions should you ask in a systems review in a patient present with a painful red eye? (9)
Change in vision Discharge Itchy Xerophthalmia (dry eyes) Halos around bright lights Constitutional Cough Bowel + urinary Sx, STIs Painful joints/rashes
What red flags should you ask a patient present with a painful red eye? (5)
Drop in visual acuity Pain interrupts sleep Symptom progression Contact lens use Trauma
What differential diagnoses would you consider in a patient presenting with a painful red eye? (7)
Conjunctivitis Acute angle glaucoma Infectious keratitis Acute anterior uveitis Episcleritis Scleritis Subconjunctival haemorrhage
What questions should you ask about a patients blurry/loss of vision?
Clarify: blurry or loss of vision; double or unclear; double side by side or on top; does it go if you shut an eye?
Site: both/one eyes; entire/part; left/right; upper/lower; tunnel
Central vision
Colour vision
Remaining vision: faces, small text, light
Triggers
What questions should you ask in a system review of a patient with blurry/loss of?
Pain - in/around eyes
Injection - redness in eyes
Flashes/floaters
Neuro: see zigzag lines, weakness, pins and needles, speech
Hypertension: morning headaches
Temporal arteritis: pain chewing/brushing hair
What red flags should you ask a patient present with a blurry/loss of vision? (4)
Profound vision loss
Rapid onset
Pain
Trauma
What differential diagnoses would you consider in a patient presenting with acute visual loss? (8)
Retinal artery occlusion Retinal vein occlusion Temporal arteritis Optic neuritis Retinal detachment Vitreous detachment Vitreous haemorrhage Cerebral vascular accident
What differential diagnoses would you consider in a patient presenting with gradual visual loss? (5)
Glaucoma Cataract Macular degenration Retinitis pigmentosa Optic neuropathy
