Anamn

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MUDr. Pavel Stodulka,PhD. stodulka_at_zln.cz www.LASI
K.cz
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Anamnesis in ophtalmology
Pavel Stodulka
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Well done anamnesis half of diagnosis
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ANAMNESIS

• get in touch with a patient
• contemporary troubles
• global health state

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3 kinds of troubles

• visual decrease / lost
• pain
• unusual eye appearance

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VISUAL DECREASE

• sudden
• progressive

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SUDDEN BLINDNESS

• CRAO - Centr. Ret. Art. Oclusion
• amaurosis fugax
• neuritis n. II
• haemophtalmus

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VISUAL DECREASE

• decreased central vision
• decreased peripheral vision
• - defect in visual field
• scotoma

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DIPLOPIA

• monocular
• binocular

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STRABISM - squint

• convergent esotropia
• divergent exotropia

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PAIN

• feeling of foreign body
• hemicrania
• acomodative aches
• pain behind the eye

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EYE LOOK

• subconjunctival suffusion
• squint
• exoftalmus
• gray cornea
• white pupil

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GENERAL DISEASES

• cold
• diabetes mellitus
• arterial hypertension
• diseases of connective tissue
• drugs Daraprim

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ANAMNESIS in the case of INJURY

• description of the injury mechanism
• names of the participants

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ANAMNESIS of OPERATIONS

• operation of cataracta
• second eye
• when was the operation performed
• who operated
• the kind of IOL - intraocular lens

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MUDr. Pavel Stodulka,PhD. stodulka_at_zln.cz www.LASI
K.cz
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