Writing Flashcards
How do you record your initial patient interaction?
Use FODLARS.
What is type of question do you ask for frequency?
How often does it occur?
What type of question do you ask for onset?
When did you notice it first?
What type of question do you ask for duration?
How long does it happen?
What type of question do you ask for location?
Where does it occur?
What type of question do you ask for associated factors?
Are there any other issues related to your current symptom you would like to tell me about?
What type of question do you ask for relief?
What do you do relieve yourself of the issue?
How do you record blood pressure?
Example 120/80 mmHG @ 5pm RAS, Adult cuff
How do you record pulse?
72 bpm @ 5:00pm right radial, regular
How do you record pupils?
OD and OS: 5mm in bright
OD and OS: expecting larger than 5mm in dim
PEERL(A) (-)APD
How do you record confrontation?
Static/Kinetic CFF: FTFC OD, OS
How do you record Amsler Grid?
(-) scotoma (-) distortion OD, OS
How do you record drop instillation?
1gt lubricant OD @ 4pm
How do you record cover test w/ prism neutralization?
example. 12PD exophoria
How do you record Maddox rod w/ prism neutrilization?
4 PD base out at 20ft