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Ophthalmology History Taking. Sana Rasool FY1 Ophthalmology The Royal Oldham Hospital. Presenting Complaint. Main problem? (Red eye, painful eye?) Site: One or both eyes? Focal/Diffuse? Onset: Sudden/gradual Duration: Brief/ intermittent? Pain? Injury?. Specific Questions.
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Ophthalmology History Taking Sana Rasool FY1 Ophthalmology The Royal Oldham Hospital
Presenting Complaint • Main problem? (Red eye, painful eye?) • Site: One or both eyes? Focal/Diffuse? • Onset: Sudden/gradual • Duration: Brief/ intermittent? • Pain? • Injury?
Specific Questions • New onset flashes/floaters? • Loss of part of visual field? • Distortion of straight lines? • Pts >50yrs • headaches? • scalp tenderness? • Jaw muscle ache on chewing?
Previous Ophthalmic Hx • Contact lens wearers? • Previous intraocular operations? • Myopia? • Hypermetropia
Previous Medical & Surgical Hx • Diabetes? • Hypertension? • Graves disease? • Carotid stenosis? AF? Murmurs?
Family Hx • Glaucoma? • Retinal detachment?
Drugs • Eye drops? • Anti TB drugs? • Ethambutol • Isoniazid? • Steroids
Extras • Social hx • Concerns? Worries? • Allergies? • Systemic review