Physical Exam

Screening the general populadon for POAG is most effecdve if targeted at those at high risk, such as African Americans 

For individuals of age 65 years or above, recommended frequency for a comprehensive adult medical eye evaluadon is 6 to 12 months when risk factors for glaucoma are present and 1 to 2 years in the absence of risk factors. For glaucoma suspect individuals under 40 year s, the frequency of the eye evaluadon should be 2 to 4 years and 5 to 10 year s in the presence and absence of risk factor s for glaucoma, respecdvely (American Academy of Ophthalmology Preferred Pracdce Patterns, 2005a). 

A standard comprehensive eye examinadon is performed on the inidal visit. If any visual field or opdc nerve changes consistent wdth glaucoma are present, addidonal appropriate testing should be done to establish a diagnosis. 

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Additional examples of variability in data collection (which, in turn, affects data interpretation) include questionnaires and physical exam forms. Questionnaires often utilize open-ended questions that allow great variability in the type and extent of adverse event information gathered. Physical exam forms—even when designed in a checklist format—may elicit variable collection of adverse event data what is a serious event to one clinician may not be serious to another. 

The decreased cost of professional videoconferencing equipment can now empower a physician with clinical and imaging stroke expertise to conduct a remote history, physical exam, and radiological interpretation in real time for the purpose of diagnosing and managing patients with stroke symptoms. ... 

Overdose History, physical exam Drug specific... 

BE s Medical History, Physical Exam, and Diagnostic Tests PMH... 

Findings on the physical exam are often normal in patients with chronic stable angina. However, during episodes of ischemia, patients may present with abnormal heart sounds, such as paradoxical splitting of the second heart sound, a third heart sound, or a loud fourth heart sound. 

A thorough medical history and physical exam are necessary to ascertain cardiovascular risk factors and to exclude non-ischemic... 

Patient Encounter, Part 2 Medical History, Physical Exam and Diagnostic... 

Patient Encounter, Part 2 Physical Exam, Diagnostic Tests, and Initial Treatment... 

A focused physical exam should be conducted that includes the general presentation (level of alertness, fluid status, presence of cyanosis, and use of accessory muscles), auscultation of the lungs, heart rate, and respiratory rate. 

Intestinal obstruction may be manifested as meconium ileus, distal intestinal obstruction syndrome, or intussusception on abdominal x-ray or computed tomography scan. Rectal prolapse may be noted on physical exam. 

Evaluate patient history and physical exam findings and recommend a specific regimen including both pharmacologic and nonpharmacologic therapy. 

Nonspecific signs on physical exam include jaundice, tea-colored urine, bruising, hepatomegaly, splenomegaly, spider angiomata, caput medusae, palmar erythema, gynecomastia, and testicular atrophy. 

A 41-year-old Caucasian man is required by his employer to obtain a physical exam. He has no medical complaints but does report some stress from an impending divorce and from needing to take care of his five young children. 

After an acid-base disorder has been completely characterized, the patient s medical history, physical exam, and medications should be reviewed in order to establish the etiology of the given disorder. Tables 25-3 through 25-7 outline the most commonly encountered causes of the primary acid-base disorders. The therapeutic approach to each of these acid-base derangements should emphasize a search for the cause, as opposed to immediate attempts to normalize the pH. Although supportive measures to prevent the sequelae of marked acid-base abnormalities is often required, these therapies will be required indefinitely if the causative process is not also identified and corrected.7,8... 

Review each patient s history, physical exam, and current medication list for potential causes of the observed acid-base disorder. 

AG, a 20-year-old male college student, is seen by his physician 4 days after an apparent seizure during finals week. According to his roommate, he suddenly fell to the floor and had a generalized tonic-clonic seizure. This seizure lasted for 1 to 2 minutes. The patient was incontinent for urine during the seizure. He was sleepy and confused when the paramedics arrived 1 0 minutes later. Due to final examinations he reports being sleep-deprived. His physical exam is completely normal and no focal neurologic deficits were observed. 

Upon admission and control of seizure activity, a neurologic exam should be conducted to evaluate level of consciousness (coma, lethargy, and somnolence), motor function and reflexes (rhythmic contractions, rigidity, spasms, and posturing), and pupillary response. A physical exam to identify secondary injuries from the SE should also be conducted. 

Physical exam and laboratory studies reveal the following additional information about CH. 

Physical exam Fhtient history including medications (prescription,... 

The success of treatment is measured by the early termination of seizures, without adverse drug effects or brain injury. Therefore, it is essential to start pharmacologic treatment as soon as possible. First-line treatment for SE should halt seizure activity within minutes of administration. In patients who are unarous-able following treatment, an EEG should be done to rule out continued excessive electrical brain activity and confirm termination of seizures. A physical exam and evaluation of the patient s laboratory results can help determine if the cause or complications of seizure activity are being appropriately treated. 

Conduct a physical exam and measure blood pressure, pulse, respiratory rate, and body temperature. 

Conduct a physical exam to determine if medical problems are present. 

Successful therapy for ED results in an increase in erections suitable for intercourse, and most importantly in an improvement in the patient s quality of life. Ideally, the therapy chosen is free of significant adverse effects, discomfort, and inconvenience. Laboratory evaluation and a physical exam are not necessary for evaluation of effectiveness, but may be necessary to determine if adverse events are occurring. 

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