History Taking Flashcards
1
Q
5 categories of Hx taking
A
PC POH FOH GH VT
2
Q
Presenting complaint (PC)
A
Location/laterality Onset Frequency Type/severity Self treatment and efficacy Effect on Px Associated symptoms?
Vision @ DIN Use of aids for visual tasks @ DIN Anterior eye problems: dry / itchy / red / sore / gritty Flashes or floaters HA DV
3
Q
POH
A
LEE @ optometrist?
Operations/injury/infections
1st pair of Rx/CL
Lazy eye / patching / strab / amblyopia
4
Q
FOH
A
Glaucoma / AMD
Lazy eye / patching / strab / amblyopia
DM / HT / HD / high chol / cancer
High Rx / blindness
5
Q
GH
A
How is your general health? DM / HT / HD / high chol / cancer Glaucoma / AMD Medications Allergies GP name and address, visit often?
6
Q
VT
A
Driving
Studying? Occupation?
VDU
7
Q
Causes of gradual decreased vision
A
- RE: myopia / hyperopia / astigmatism / prebyopia
- Cataract
8
Q
Causes of sudden, painless decreased vision
A
- Macular degeneration
- Retinal detachment
- Vascular occlusion (most commonly CRAO)
- Ischaemic optic neuropathy (ION): loss of BS to optic nā
9
Q
Causes of FL/Fr
A
FLASHES
Scintillating flashes lasting for 20 minutes are commonly assoc. with neurological problems or migraine
Non-colourful flash, like a camera flash can be due to pulling of photoR, i.e. retinal detachment
FLOATERS
Vitreous liquefaction, sudden increase in number and frequency may indicate VD
