Author Question: Vickie, 37 years old, was recently diagnosed with relapsing/remitting MS. She is seeing an ... (Read 54 times)

kshipps

  • Hero Member
  • *****
  • Posts: 571
Vickie, 37 years old, was recently diagnosed with relapsing/remitting MS. She is seeing an ophthalmologist because of problems with her vision. She has had some episodes of double vision and wants to find out if it is related to the MS. After completing a thorough eye exam and taking a detailed medical history, Vickie is diagnosed with bilateral internuclear ophtalmoplegia. The ophthalmologist said the condition is directly related to the MS and told Vickie to continue on her present treatment regimen. She expects the double vision will fluctuate along with the other MS symptoms.
 
  Dx: Internuclear ophthalmoplegia
 
   First-listed diagnosis: ________
   Secondary diagnoses: ________
  Fill in the blank with correct word.

Question 2

Tom is a 42-year-old black male who presents to the ED with vision problems. He states that when he woke up this morning, he noticed that the vision in his left eye was funky. He describes it like having a dark shadow across the lower portion of my eye. He had no visual disturbances when he retired the night before, and denies any vision problems previously. He does not wear glasses for distance, though he acknowledged he would probably need reading glasses soon. He denies any history of hypertension, diabetes or high cholesterol. He is very physically fit and says he watches his diet and exercises religiously. A neuro-ophthalmologist was called to consult and she diagnosed Tom with ischemic optic neuropathy. She prescribed large doses of steroids and told Tom there was a good chance his vision would improve or return entirely. She told Tom to follow-up with her in one week.
 
  Dx: Ischemic optic neuropathy
 
   First-listed diagnosis: ________
  Fill in the blank with correct word.



princessflame2016

  • Sr. Member
  • ****
  • Posts: 298
Answer to Question 1

First-listed diagnosis: ________
Answer: Bilateral internuclear ophthalmoplegia  H51.23

Secondary diagnoses: ________
Answer: Multiple sclerosis  G35

Answer to Question 2

Answer: Ischemic optic neuropathy  left eye  H47.012



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

In the ancient and medieval periods, dysentery killed about ? of all babies before they reach 12 months of age. The disease was transferred through contaminated drinking water, because there was no way to adequately dispose of sewage, which contaminated the water.

Did you know?

According to the National Institute of Environmental Health Sciences, lung disease is the third leading killer in the United States, responsible for one in seven deaths. It is the leading cause of death among infants under the age of one year.

Did you know?

The word drug comes from the Dutch word droog (meaning "dry"). For centuries, most drugs came from dried plants, hence the name.

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

Did you know?

Pubic lice (crabs) are usually spread through sexual contact. You cannot catch them by using a public toilet.

For a complete list of videos, visit our video library