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ID:42834657
大小:105.00 KB
页数:34页
时间:2019-09-21
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1、ENGLISHGUIDETOCOMMONEXAMINATIONPHRASESOCULARDISEASEPOSTERIORSEGMENTEXAMINATIONRETINAARTERIES/VEINSCRVO(CENTRALRETINALARTERYOCCLUSION)“Everythingsuddenlywentdarkinmyrighteye.Itwasn'tpainful.ButIcanseeanythingthroughthateye.AllIcanmakeoutareyourfingers”1Youhadastrokeinyoureyeduetoblockedarteries.This
2、isprobablyaresult,ofanunderlyingsystemiccondition.IneedyoutocloseyoureyesandIwilltouchyoureyelidsinordertomassagethem.Nowholdthispaperbag,takeadeepbreathandholdthenbreathintothebag.ANTERIORCHAMBERPARACENTESIS2Weneedtodrainalittlebitoffluidfromyoureyes.Thisproceduremayimproveyourpresentvisualacuity.
3、Areyouallergictonumbingdrops?Pleaserelaxyoureyes.Ineedtonumboneofyoureyemuscles.Youwillfeelapressuresensation.Justkeepyoureyesturnedtowardstheside.Lookatwheremyfingersare.3NowIneedyoutotakethispill.Ithelpsreduceyoureyepressuretopreventfurtherdamage.WORK-UP4Ineedtofindtheunderlyingcauseofyourconditi
4、on.Yourvisionwillnotimprove.Butweneedtopreservewhatremains.Follow-upisimportant.Ialsoneedtoreferyoutoaninternistforacompleteworkup.Theywillneedtorunbloodtests(FBS,CBC,PT/PTT,ANA,FTA-ABS)andsofourth(CarotidDoppler,ultrasound,ECG).Ineedtoseeyoubackin3-4weekstomakesuretherearenosignsofoxygendeprivatio
5、ndamage.第34页共34页Iwillhavemystaffmakethatappointmentforyou.BRVO(BRABCHRETINALARTERYOCCLUSION)5Youhaveapartialstroketoyoureyeduetoblockedartery.Thisisprobablyduetoanunderlyingsystemiccondition.Ineedtoseeyoubackin3-6monthstomonitoryourcondition.Follow-upisimportantsopleasedon'tforget.CRVO(CENTRALRETIN
6、ALARTERYOCCLUSION)Youhaveablockageinthedrainagesystemofbloodinyoureye.Itiscausingbloodtoleakoutofvessels,whichisthecauseofyourvisualproblems.Weneedtofindouttheunderlyingcause.Areyouonany.medicationssuchasoralcontraceptives?Doyourememberthenameofyourbloodpressurepill?Ineedtodiscusswithyourdoctorands
7、eeifit'sadvisabletochangeyourmedication.Ialsoneedtoreferyoutoaninternistforabloodwork-up.Irecommendwedoafluoresceinangiography.It'saspecialtestthatwillgivemebetterinformationastotheextentofvesselblockage.Iw
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