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Blurry vision

  • Common ddx

    • near-sightedness (blurry distant objects, alleviated by squinting)
    • far-sightedness (blurry near objects)
    • cataracts (gradual, cloudy vision)
    • EtOH
    • diabetes
    • diabetic retinopathy
    • corneal abrasion, foreign body (trauma)
    • glaucoma
    • migraines (associated with migraine attacks)
  • Serious ddx

    • concussion (head trauma, headache)
    • orbital fracture (severe eye trauma)
    • vitreous hemorrhage
    • retinal detachment
  • Labs

    • optho consult
    • Utox
    • CT if head trauma
    • consider MRI for brain mass
  • Other ddx

    • iritis, keratitis
  • HPI

    • onset
    • triggering event
    • blurriness with near vs distant objects
    • aggravates, alleviates
  • ROS

    • fever, rash, trauma
    • headache
    • eye pain
    • chest pain, dyspnea
    • nausea, vomiting, diarrhea, abdominal pain
    • paresthesia, weakness
  • PMH

    • diabetes
    • MS
  • FH

  • SH

    • EtOH, cocaine, other drugs
  • Meds

    • new meds
  • Px

    • vitals
    • gen impression
    • eye: vision acuity, inspection, pupils, EOM, visual field
    • fundoscope (retina, hemorrhage, papilledema)
    • cardio, pulm, abd
    • neuro

  • Print | Citations

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