A 50-year-old woman is admitted with chief complaints of headache and decreased range of motion in her neck. She also complains of vertigo, hearing loss in one ear, profuse sweating, and uncontrollable eye movements. Her past medical history indicates that she was in a motor vehicle accident three days before her admission.
What specific diagnostic examinations would you recommend? Why?
What conditions should be ruled out? Why?
How would you distinguish between these conditions? What are the possible causes of these symptoms?
While interviewing and examining a 17-year-old male, you discover a white patch on his buccal mucosa and slanting palpebral fissures in his eyes. He also states during the interview that he plays baseball and is hoping to earn an athletic scholarship to college.
What do you suspect? What kind of client teaching is appropriate in this situation?
When would slanting palpebral fissures be normal?
While performing a retinal examination on this patient, you discover that the margins of the optic disc become blurred and indistinct. What further testing would be required? Why? What is the foremost cause of this clinical finding?