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ReST
| Disease | Referral | Symptoms | Trigger |
|---|---|---|---|
| Bacterial Conjunctivitis | true eye pain visual changes - blurred, reduced, loss vision photophobia injury to eye vomitting cloudy cornea irregularly shaped pupil longer than 2 weeks recent injury, foreign objects | ask look 1 or 2 redness crusty eye mucopurelent discharge thick yellow white green burnings rapid onset 1-->2 gritty sensation mostly at lid margin& corners, | start anything new had before sickness passed from others flu, pneumonia secondary to viral conjunctivitis |
| Allergic Conjunctivitis | true eye pain visual changes - blurred, reduced, loss vision recent injury, foreign objects photophobia injury to eye vomitting cloudy cornea irregularly shaped pupil | ask look 1 or 2 redness itchy, burning - rubbing watery swollen | start anything new had before exposure allergens - pollen, mold, animal |
| Dry Eye | true eye pain visual changes - blurred, reduced, loss vision recent injury, foreign objects photophobia injury to eye vomitting cloudy cornea irregularly shaped pupil | ask look 1 or 2 dry burning irritated gritty tired excessive tearing after irritation | start anything new had before dry environment, AC, menopause, medications, medical conditions, hormonal changes |
| Otitis Externa | sever infections immunocompromised pain not relieved by regular analgesic, impaired hearing children, ear pain children <6yrs symptoms affect other part ear, pus/mucus discharge, pain mastoid area, trauma obstruct, dizzy | ask look pain (70% cases) discharge initially clear - then foul smelling itch (60% cases) red swollen ear canal mild hearing loss/ dulled hearing | start anything new had before moist humid environment, swimming, ear trauma/irritation, chemicals (shampoo, hairspray), skin conditions (eczema, dermatitis) |
| Mouth Ulcers | children - first time, no cause persist 14day< painless larger than 1cm 10+ simultaneously ill fitting dentures | ask look pain discomfort visible sore irritation certain foods ~swelling~ | start anything new had before stress infection /trauma/ nutritional deficiency meds food sensitivities burns, some disease - herpes |
| Cold Sores | babies, young children <18 topical therapy not suitable systemic infection immunocompromised ocular signs/symptoms lesions last longer than 14 days severe widespread not on lips occur 3<yrs | ask look 1 discomfort, tingle burn no appearnace 2 lesion/ blister 3 crusting - blister burst pain | start anything new had before stress fatigue sunlight menstruation wind local trauma being run down illness fever herpes simplex virus HSV - contact w other person sore, indirect |
| Plantar Warts | large multiple painfull ooze bleed itch - no provoke genital/ face diabetes sign infections grow / change colour | ask look hard outer edge cauliflower appearance pale slightly raised central small place spots painful w pressue single/ clusters <1cm diameter | start anything new had before human papilloma virus direct skin contact/ contact infected cells |
| Oral Thrush | >3 weeks diabetes pregnany immunocompromised recurrent infections painless | ask look white creamy patches on tongue & mouth redness of tongue sore can be wiped | start anything new had before candida infection diabetes, immuo compromised, xerostomia, MEDICATIONS - antibiotics, inhaled corticosteroids |
| Ear Wax Impaction | trauma to ear canal, obstruction due to foreign bodies, dizziness/tinnitus pain not relieved by regular analgesic, impaired hearing children, ear pain children <6yrs symptoms affect other part ear, pus/mucus discharge, pain mastoid area | ask look feeling of discomfort, sensation ear blocked, gradual hearing loss | start anything new had before narrowed ear canal, drier harder ear wax (elderly), repeated unskilled attempts at removal |
Created by:
wegonebefine
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