DIPLOPIA

Diplopia pnemonics
◦ OCDPAE
◦ MAD
◦ Associate
◦ Drop
◦ Nev
◦ Hp
◦ Visual
◦ System
◦ Onset: when did it start. month ago. week ago, or for long time
◦ c. COURSE. EPISODES/CONTANT
◦ D: DURATION: is the same every day or its different /progression is it getting worse
◦ P: PROGRESSIIN: GETTING WORSE
◦ A: aggravating factors: by far vision vs near vision( near worse medial rectum.(NM)
◦ E :eliving factors: CLOSING ONE EYE .OR GLASSES
◦ M: MONOCULAR: VS NBINOCULAR
◦ ALIGNMENT : SIDE BY SIDE (lateral rectus) .on the top of each other(superior recrtus) vs
torsional ( oblique muscles )
◦ D: distance b/w object : paretic distance inc. in direction of weakness. Vs restrictive which
is opposite
◦ Associate symptoms:
◦ Droopy eyelid
◦ Neu. Neurological symptoms
◦ Viusual impairment color.side .whole thing ( NCTD )
◦ H :headache
◦ P :Pain
◦ Systemic review:
◦ CNS.GIT.CVS.MSK.\
◦
◦ SOCIAL: JLFAS Recreation travel:
◦ J: job. which where .occupational therapist. Impact on job or social interaction(social
worker)
◦ Living: whom. someone to help. Activities of daily living
◦ Finance: financially supported (social worker)
◦ A: alcohol/Smoking. quantify alcohol/smoking cessation clinic .
◦ Recreational activity : impact on recreational activity like swimming/climbing
◦ Travel: have you travelled. contact with TB
◦ Conclusion:
◦ Plan:
◦
◦ Discussion: