A 58-year-old male farmer presented with progressively diminishing vision in his right eye over the past 2 months. He experienced an episode of pain in the right eye 1 month ago. Examination revealed decreased visual acuity in the right eye and fixed vocal cords. Imaging including OCT and ultrasound showed a mass in the right eye with retinal detachment. The patient also had a history of hoarseness of voice for 5 months and was diagnosed with bilateral vocal cord palsy.
Swelling of the eye’s optic nerve
Optic nerve carries light signals from the back of the eye to the brain , so that person can see.
If optic nerve is swollen , damaged or infected , we can’t see clearly .
This condition may caused by the body’s immune system attacking optic nerve tissue
Seems more likely to happen in people who have viral problems like mumps , measles , and the multiple sclerosis etc.
Symptoms :
It can be unilateral and bilateral
Symptoms : include : -
Blurring of vision
Colors appears dull and faded
Pain in the back of the eye socket
Pain when moving eyes
Maddox Rod
Use of Maddox Rod
Method of Assessment MR
Double MR Test procedure
Recording procedure of MR Test
Heterophoria, Cyclophoria, Esophoria,Exophoria,Hyperphoria,Hypophoria
Swelling of the eye’s optic nerve
Optic nerve carries light signals from the back of the eye to the brain , so that person can see.
If optic nerve is swollen , damaged or infected , we can’t see clearly .
This condition may caused by the body’s immune system attacking optic nerve tissue
Seems more likely to happen in people who have viral problems like mumps , measles , and the multiple sclerosis etc.
Symptoms :
It can be unilateral and bilateral
Symptoms : include : -
Blurring of vision
Colors appears dull and faded
Pain in the back of the eye socket
Pain when moving eyes
Maddox Rod
Use of Maddox Rod
Method of Assessment MR
Double MR Test procedure
Recording procedure of MR Test
Heterophoria, Cyclophoria, Esophoria,Exophoria,Hyperphoria,Hypophoria
Current Trend in Management of Amblyopia (Amblyopia Therapy)/ Amblyopia Treat...Bikash Sapkota
DIRECT DOWNLOAD LINK ❤❤https://healthkura.com/lazy-eye-amblyopia/❤❤
Dear viewers, to download this presentation visit___ https://healthkura.com/lazy-eye-amblyopia/
Current Trend in Management of Amblyopia. Latest as well as old methods of amblyopia management which include active and passive therapies. Amblyopia Therapy/ Amblyopia Treatment
What would be the perfect amblyopia therapy?
Effective
Good compliance
Acceptable to pts. and parent
Quick
Safe
Easy to administer
Cost effective
Well maintained
..............
Summary
Amblyopia occurs due to abnormal visual experience early in life
Proper optical correction alone is necessary for short period of time (6-8 weeks)
before initiation of other therapy
Part time occlusion of better eye is mainstay of treatment since 18th century to till
now
For severe and moderate amblyopia, 6 hrs and 2 hrs of patching is advised
respectively
Atropine is also used in children with poor compliance
Trial of patching can be given in patients as old as 17 yrs
Perceptual learning and pharmacological manipulation have shown areas of
amblyopia treatment beyond the critical period of visual development
Binocular stimulation, software based treatments and other methods do not have
promising result to replace the patching therapy till date
Most of the active therapy methods have good results when used together with
patching therapy
A detailed presentation covering all aspects of amblyopia, a form of cortical visual impairment, defined clinically as a unilateral or bilateral decrease of visual acuity (VA) that cannot be attributed to structural abnormalities of the eye or visual pathway
thyroid eye disease is becoming a very common eye disorder with more than 42 million people affected in india with thyroid disease. About 2.9 men and 16 women/lac/year are newly diagnosed with thyoid disease.
Diabetic Retinopathy - Long Case Presentation by Dr. Muhammad Zeeshan HameedZeeshan Hameed
About Author:
Dr. Muhammad Zeeshan Hameed MBBS,FCPS (Resident Eye Surgeon)
GMC/DHQ Teachng Hosptal, Gujranwala Pakistan.
About Presentation:
This presentation covers a detailed history and examination of a case of mild NPDR / mild non-proliferative diabetic retinopathy.
Ischemic optic neuropathy constitutes one of the major causes of blindness or seriously impaired vision among the middle-aged and elderly population.
Ischemic optic neuropathy is due to acute ischemia of the optic nerve. it can be classified into two, depending upon the part of the optic nerve involved:
1.Anterior ischemic optic neuropathy (AION)
-AION is due to acute ischemia of the front (anterior) part of the optic nerve (also called optic nerve head), which is supplied mainly by the posterior ciliary arteries.
-AION is divided into two types, depending on what causes it:
1.Arteritic AION: This is the most serious type and is due to a disease called giant cell arteritis or temporal arteritis.
2. Non-arteritic AION: This is the usual, most common type, with many different causes but not associated with giant cell arteritis.
2.Posterior ischemic optic neuropathy (PION). -
-PION is a much less common type. It is due to acute ischemia of the back (posterior) part of the optic nerve, located some distance behind the eyeball; this part of the optic nerve is NOT supplied by the posterior ciliary arteries
(Hayreh, 2009)
-IOL formula
1st generation formula : SRK, Binkhost
2nd generation formula : SRK II
3rd generation formula: Hoffer Q, Holladay 1, SRK/T
4th generation formula: Haigis, Holladay 2, Olsen
-The Hoffer Q, Holladay I, and SRK/T formula are all commonly used.
AUTHOR DR RUPALI TYAGI, CO-AUTHOR 1 DR SHUBHA NAGPAL, CO-AUTHOR 2 DR NEELAM PUTHRAN, CO-AUTHOR 3 DR VARSHA KULKARNI MS OPHTHALMOLOGY BHARATI HOSPITAL BHARATI VIDYAPEETH UNIVERSITY PUNE
Current Trend in Management of Amblyopia (Amblyopia Therapy)/ Amblyopia Treat...Bikash Sapkota
DIRECT DOWNLOAD LINK ❤❤https://healthkura.com/lazy-eye-amblyopia/❤❤
Dear viewers, to download this presentation visit___ https://healthkura.com/lazy-eye-amblyopia/
Current Trend in Management of Amblyopia. Latest as well as old methods of amblyopia management which include active and passive therapies. Amblyopia Therapy/ Amblyopia Treatment
What would be the perfect amblyopia therapy?
Effective
Good compliance
Acceptable to pts. and parent
Quick
Safe
Easy to administer
Cost effective
Well maintained
..............
Summary
Amblyopia occurs due to abnormal visual experience early in life
Proper optical correction alone is necessary for short period of time (6-8 weeks)
before initiation of other therapy
Part time occlusion of better eye is mainstay of treatment since 18th century to till
now
For severe and moderate amblyopia, 6 hrs and 2 hrs of patching is advised
respectively
Atropine is also used in children with poor compliance
Trial of patching can be given in patients as old as 17 yrs
Perceptual learning and pharmacological manipulation have shown areas of
amblyopia treatment beyond the critical period of visual development
Binocular stimulation, software based treatments and other methods do not have
promising result to replace the patching therapy till date
Most of the active therapy methods have good results when used together with
patching therapy
A detailed presentation covering all aspects of amblyopia, a form of cortical visual impairment, defined clinically as a unilateral or bilateral decrease of visual acuity (VA) that cannot be attributed to structural abnormalities of the eye or visual pathway
thyroid eye disease is becoming a very common eye disorder with more than 42 million people affected in india with thyroid disease. About 2.9 men and 16 women/lac/year are newly diagnosed with thyoid disease.
Diabetic Retinopathy - Long Case Presentation by Dr. Muhammad Zeeshan HameedZeeshan Hameed
About Author:
Dr. Muhammad Zeeshan Hameed MBBS,FCPS (Resident Eye Surgeon)
GMC/DHQ Teachng Hosptal, Gujranwala Pakistan.
About Presentation:
This presentation covers a detailed history and examination of a case of mild NPDR / mild non-proliferative diabetic retinopathy.
Ischemic optic neuropathy constitutes one of the major causes of blindness or seriously impaired vision among the middle-aged and elderly population.
Ischemic optic neuropathy is due to acute ischemia of the optic nerve. it can be classified into two, depending upon the part of the optic nerve involved:
1.Anterior ischemic optic neuropathy (AION)
-AION is due to acute ischemia of the front (anterior) part of the optic nerve (also called optic nerve head), which is supplied mainly by the posterior ciliary arteries.
-AION is divided into two types, depending on what causes it:
1.Arteritic AION: This is the most serious type and is due to a disease called giant cell arteritis or temporal arteritis.
2. Non-arteritic AION: This is the usual, most common type, with many different causes but not associated with giant cell arteritis.
2.Posterior ischemic optic neuropathy (PION). -
-PION is a much less common type. It is due to acute ischemia of the back (posterior) part of the optic nerve, located some distance behind the eyeball; this part of the optic nerve is NOT supplied by the posterior ciliary arteries
(Hayreh, 2009)
-IOL formula
1st generation formula : SRK, Binkhost
2nd generation formula : SRK II
3rd generation formula: Hoffer Q, Holladay 1, SRK/T
4th generation formula: Haigis, Holladay 2, Olsen
-The Hoffer Q, Holladay I, and SRK/T formula are all commonly used.
AUTHOR DR RUPALI TYAGI, CO-AUTHOR 1 DR SHUBHA NAGPAL, CO-AUTHOR 2 DR NEELAM PUTHRAN, CO-AUTHOR 3 DR VARSHA KULKARNI MS OPHTHALMOLOGY BHARATI HOSPITAL BHARATI VIDYAPEETH UNIVERSITY PUNE
GEMC- Case of the Week- Aortic Dissection- for ResidentsOpen.Michigan
This is a lecture by Nathan Brouwer from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC: Myasthenia Gravis (Case of the Week): Resident TrainingOpen.Michigan
This is a lecture by Dr. Chris Oppong from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
A 27-year-old male with bilateral red eyes.pptxAsAadHabib2
The patient presented with bilateral red eyes with chronic discharge from both eyes and a history of chalazion surgery. We did necessary investigations and treated him with topical fortified ceftazidime and systemic antibiotics. But later similar presentations were seen. We again did all the available and necessary investigations yet nothing significant was found. As our country is an endemic zone for TB we started empirical anti TB drugs. The rest is on the presentation.
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: July CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
• Aortic Aneursym
• Aortic Coarctation
• Aspirated Foreign Body
• Ingested Foreign Body
• VP Shunt Malfunction
• Hemopneumothorax
• COVID-19 pneumonia and pneumothorax
Sample Medical Chronology - Medical Chronology Services for AttorneysMedLegal Services
When creating a medical chronology, it is important to maintain accuracy and objectivity. The information should be presented in a clear and concise manner, using standardized medical terminology. https://www.mlr-medicalrecordsreview.com/medical-record-chronologies
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
2. 08/22/15 Free Template from www.brainybetty.com 2
Patients Details
Name : LSB
Age: 58 yrs.
Sex Male
Occupation: Farmer
Resident of: Nippani
3. 08/22/15 Free Template from www.brainybetty.com 3
Presenting Complaints
Diminution of vision in Right Eye
since 2 months.
Single episode of pain in Right
Eye 1 month ago.
4. 08/22/15 Free Template from www.brainybetty.com 4
History of Present Illness
Patient was apparently alright until 2 months
ago when he started developing diminution of
vision in Right Eye which kept on progressing
gradually and painlessly.
He first noticed it while working in the fields
one day that he was unable to recognize faces
infront of him with left eye closed, his vision in
the right eye has progressively been
diminishing since.
5. 08/22/15 Free Template from www.brainybetty.com 5
History of Present Illness
About one month ago the patient experienced an
episode of pain in the right eye – sudden in
onset, pricking in character, non radiating for
which he consulted a local doctor who gave
him some eyedrops to be put hourly and
spectacles.
The pain resolved within 2 days but the
diminution of vision has progressed such that
since the past 15 days he is only able to see
objects less than 1m away.
6. 08/22/15 Free Template from www.brainybetty.com 6
History of Present Illness
No h/o redness
No h/o watering
No h/o discharge
No h/o colored halos
No h/o micropsia
No h/o metamorphopsia
No h/o flashes of light
No h/o curtain falling infront of eyes
7. 08/22/15 Free Template from www.brainybetty.com 7
History of Present Illness
h/o cough since 5 months present
No h/o weakness
No h/o tiredness
No h/o lethargy
No h/o weight loss
No h/o sore throat
No h/o fever
8. 08/22/15 Free Template from www.brainybetty.com 8
History of Present Illness
No h/o burning micturition
No h/o ocular trauma
No h/o convulsions
h/o tobacco intake present
9. 08/22/15 Free Template from www.brainybetty.com 9
Past History
Patient has history of dysphonia since the
past 5 months for which he showed a
local doctor in Nippani, he was told that
it will improve with medications, but
there was no improvement. At the same
time patients developed cough which is
not continous, comes in bouts and has no
aggravating or relieving factors. The
cough has been persisiting for the last 5
months.
10. 08/22/15 Free Template from www.brainybetty.com 10
Past History
A few days later, at KLESH the patient
underwent an endoscopy and was
diagnosed to be having right sided vocal
cord palsy.
He was prescribed a B-Complex, an
antibiotic tablet (Levofloxacin) for 5 days
and a cough syrup.
It has now progressed to involve both
recurrent laryngeal nerves such that the
patient has no phonation at all.
11. 08/22/15 Free Template from www.brainybetty.com 11
Past History
No history of similar complaints in the
past.
No h/o Diabetes Mellitus
No h/o Hypertension
12. 08/22/15 Free Template from www.brainybetty.com 12
Personal History
Diet : Vegetarian
Appetite: Normal
Sleep: Not distubed
Bowel habits: Unaltered
Bladder habits: Unaltered
Substance abuse: Tobacco chewing since
25 years. ( 1 packet for 3 days)
occasional alcohol intake
13. 08/22/15 Free Template from www.brainybetty.com 13
Family History
No history of similar complaints in the
family.
Patient has 4 brothers and one sister all
of who are alive and healthy.
His father passed away 20 years ago due
to chronic tuberculosis.
His mother is alive and healthy.
14. 08/22/15 Free Template from www.brainybetty.com 14
Examination
Patient is an elderly male, poorly
nourished, conscious, co-operative and
well oriented to time, place and person.
Pulse Rate: 90/min
Blood Pressure: 110/70 mm Hg
Respiratory Rate: 24/min
Afebrile to touch.
15. 08/22/15 Free Template from www.brainybetty.com 15
Examination
No evidence of Pallor
No evidence of Icterus
No evidence of Clubbing
No evidence of Cyanosis
No evidence of Lymphadenopathy
16. 08/22/15 Free Template from www.brainybetty.com 16
Examination
Respiratory System: Bilateral equal air
entry
No adventitious sounds heard
Cardiovascular System: Normal S1, S2
. heard. No murmurs
Per Abdomen: Soft, non tender
No distension
Bowel sounds present
17. 08/22/15 Free Template from www.brainybetty.com 17
Examination
Central Nervous System: Higher Mental
functions intact
Dysphonia present.
On examination both side Vocal chords
are fixed.
18. 08/22/15 Free Template from www.brainybetty.com 18
Ocular Examination
Head Posture : Erect
Facial symmetry: Symmetrical
Ocular Posture: Normal
Extra-ocular movements
21. 08/22/15 Free Template from www.brainybetty.com 21
Intraocular Pressure
Intraocular pressure{with Schiotz
tonometer (using 5.5g weight) on
12.11.13 at 08:40 a.m.} -
RE -12.2 mm of Hg
LE -14.6 mm of Hg
22. 08/22/15 Free Template from www.brainybetty.com 22
Color vision –
Patient is color blind
42. 08/22/15 Free Template from www.brainybetty.com 42
OD
• Lens echo noted
• Vitreous shows few low reflective
dot echoes
• A mass lesion noted in the
peripapillary area and posterior
pole measuring 12.4 x3.5 mm
with high surface reflectivity and
variable internal reflectivity
• Retinal detachment noted inferior
and temporal to the lesion
43. 08/22/15 Free Template from www.brainybetty.com 43
OD
• Retina attached elsewhere
• Choroidal thickness normal
elsewhere
• Optic nerve head appears normal
48. 08/22/15 Free Template from www.brainybetty.com 48
Peripheral Smear- Normocytic hypochromic
anaemia with leucocytosis
Bleeding Time: 2:30 min
Clotting Time: 4:00 min
ESR 06 in first hour
49. 08/22/15 Free Template from www.brainybetty.com 49
Urine Microscopy- Within normal limits
No evidence of Albumin or Sugar
HIV negative.
50. 08/22/15 Free Template from www.brainybetty.com 50
Liver Function Tests:
Total Bilirubin 0.5 mg/dl
Direct Bilirubin 0.2 mg/dl
Total Proteins 7.2 gm/dl
Serum Albumin 3.8 gm/dl
A:G ratio 1.1
SGOT 16 U/L
SGPT 10 U/L
Alkalline Phosphatase 558 IU/L
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Renal function Tests
Urea: 22 mg/dl
Creatinine: 0.8 mg/dl
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X- Ray Chest P-A View
Hilar shadows are within normal limits.
Pulmonary vasculatures appear normal.
Both domes of diaphragm are smooth.
Both costophrenic recesses are clear.
Lung fields appear normal.
Visualized bones and soft tissue shadows
appear normal.