I need Help

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hi all,

i just need help please... here is the question...

1) when assessing the external eye of a student in the school you notice that her conjunctive is red and there is excessive watering from the left eye. she has just come in from recess.

a. what questions would you ask this student? (please list each question)

she might have eye inflammation a sign that her eyelid can be infected. but i really do not know what kind of questions that i have to ask. should i say, when did it start? do you feel pain?

b. what exams should you do? list the procedure (how you would do it) for each exam?

this is the list of procedure form my fundamental book. i just want to know if i am on the right track.

- inspect the eyelids for surface characteristics, positions in relation to cornea, ability to blink, and frequency of blinking. for proper visual examination of the upper eyelids, i would elevate the eyebrows with my thumb and index fingers and i have her close the eyes. i would inspect the lower eyelids while her eyes are closed.

- i would inspect the bulbar conjunctiva (that lying over the sclera) for color, texture, and presence of lesions. by retract the eyelids with my thumb and index finger, exerting pressure over the upper and lower bony orbits, and i will ask her to look up, down, and from side to side.

- inspect the palpebral conjunctiva (which is the lining the eyelids) by everting the lids. evert both lower lids, and ask her to look up. then gently retract the lower lids with the index fingers.

- inspect and palpate the lacrimal gland. by using the tip of my index finger, palpate the lacrimal gland (to observe the edema between the lower lid and the nose.

- inspect and palpate the lacrimal sac and nasolacrimal duct. by using the tip of my index finger, palpate inside the lower orbital rim near the inner canthus.

- inspect the cornea for clarity and texture. i would ask her to look straight ahead. hold a penlight at an oblique angle to the eye, and move the light slowly across the corneal surface.

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Specializes in med/surg, telemetry, IV therapy, mgmt.

when assessing the external eye of a student in the school you notice that her conjunctive is red and there is excessive watering from the left eye. she has just come in from recess.

a. what questions would you ask this student? (please list each question)

this comes from page 110-115 of
mosby's expert 10-minute physical examinations
by cindy tryniszewski (editor), mosby (manufactured by) 2nd edition (there is a newer edition in publication now) of course, you would need to alter these so a child would understand what you were asking:

  • what color and consistency is the discharge? is it clear or purulent? thick or thin?

  • is the discharge coming from one or both eyes?

  • does anything reduce or increase the amount of discharge?

  • is the discharge associated with a particular time of day or activity?

  • does anyone else in your household have eye discharge or other eye symptoms?

  • do your eyes itch or burn?

  • are your eyes sensitive to light?

  • do you wear contact lenses? if so, what method do you use to clean them?

  • do you have a fever, cough, or runny nose?

  • do you have allergies?

  • have you experienced any vision changes? for instance, double-vision or reduced visual clarity?

  • do objects appear blurry?

  • have your eyes been tearing excessively?

b. what exams should you do? list the procedure (how you would do it) for each exam?

this is the list of procedure form my fundamental book. i just want to know if i am on the right track.

- inspect the eyelids for surface characteristics, positions in relation to cornea, ability to blink, and frequency of blinking. for proper visual examination of the upper eyelids, i would elevate the eyebrows with my thumb and index fingers and i have her close the eyes. i would inspect the lower eyelids while her eyes are closed.

- i would inspect the bulbar conjunctiva (that lying over the sclera) for color, texture, and presence of lesions. by retract the eyelids with my thumb and index finger, exerting pressure over the upper and lower bony orbits, and i will ask her to look up, down, and from side to side.

- inspect the palpebral conjunctiva (which is the lining the eyelids) by everting the lids. evert both lower lids, and ask her to look up. then gently retract the lower lids with the index fingers.

- inspect and palpate the lacrimal gland. by using the tip of my index finger, palpate the lacrimal gland (to observe the edema between the lower lid and the nose.

- inspect and palpate the lacrimal sac and nasolacrimal duct. by using the tip of my index finger, palpate inside the lower orbital rim near the inner canthus.

- inspect the cornea for clarity and texture. i would ask her to look straight ahead. hold a penlight at an oblique angle to the eye, and move the light slowly across the corneal surface.

from page 110 of
mosby's expert 10-minute physical examinations
by cindy tryniszewski (editor), mosby (manufactured by) 2nd edition:

  • examine the eye discharge for color, consistence, amount.

  • inspect the conjunctiva for redness and inflammation.

  • assess the pupils and their reaction to light.

  • test visual acuity.

  • palpate the lacrimal sac for tenderness and try to express additional discharge.

  • test your patient's visual acuity to see if it's been affected by the condition that's causing the discharge.

  • if the patient wears contact lenses, examine their condition. if his lens cleaning solution is available, inspect the solution for cloudiness or discoloration.

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Thank's alot Daytonite...

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