A detailed history of the chief complaint and circumstances surrounding the onset should be obtained. The past ocular and medical history will provide additional information and help you arrive at a differential diagnosis. With this information you can then focus your physical examination and enhance your opportunity to correctly diagnose and treat the condition. A history of sudden, painless monocular visual loss associated with a history of atrial fibrillation or carotid stenosis would suggest a central retinal artery occlusion, while a history of eye pain occurring while hammering metal on metal would suggest a projectile corneal or intraocular foreign body. Past visual acuity and presence of a refractive error (need for glasses or contact lenses) provides information on acuity testing expectations. Use of soft contact lenses, especially the extended-wear type, is associated with a higher incidence of corneal ulceration from microbial infection. Flashing lights and a "curtain or veil" obstructing a portion of the visual field suggests a retinal detachment. A history of diabetes or chronic hypertension and acute isolated sixth-nerve palsy suggests an ischemic cranial neuropathy. A careful medical history and history of present illness (HPI) will guide you toward an accurate differential diagnosis in the majority of cases.

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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