VA midterm chapter 4 Flashcards
external observation:
- walking movements
- posture of body and head
head tilted?
**may indicate:
- vertical Phoria
- cyclophoria
- ocular paralysis
: explanation given by the patient as to why he is seeking visual care at this time
chief complaint
statistical analysis of chief complaint
- periodic check up
- pain
- conjunctivitis and blepharitis
- cosmetic
- glasses are uncomfortable
- disturbances of vision
types of pain
- ocular pain
- orbital pain
- headache
cosmetic:
- appearance of glasses
- broken glasses
- strabismus
glasses are uncomfortable due to:
size
fit
disturbances of vision:
- diplopia
- tearing
- poor achievement on job or at school
- blur at far or near
- asthenopia
- photophobia
- holds things close when he reads
- failed screening test
- sits too close when watches TV
: interrogation regarding previous eye care received by the patient, benefits like: care and inventory of previous visual complaints
ocular history
: apparent to the patient when the peripheral stimuli to fusion have been diminished.
diplopia
: motion sickness, accompanied by headache and nausea. peculiar to heterophorias.
vertigo
in vertigo, patient will report:
dizziness
headache
gastrointestinal disturbances
other symptoms in heterophorias:
fatigue
pain in the eyes
blurred vision
: oral infection may cause fusional and motility difficulties
dental health
severe dental and oral condition may cause
headache
diplopia
motility problem
developmental history:
_______: verbally assertive, dogmatic, shows urge to speak out, create, produce and ask why..
four years
developmental history:
_____: learning to get along well with strangers, beginning to play, can dress self up, know his name, age
five years
: eye strain due to prolonged near work. this means “weak eye”
asthenopia
symptoms of asthenopia:
ocular pain
headache
visual fatigue or discomfort
drowsiness
photophobia
congestion
puffiness
itching
irritation