Diabetic eye exam form printable
[DOC File]West Virginia Department of Education
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Learning Style Preference Form. 25. Learning Style Preference Scoring Form. 27. ... This is a PDF document that is printable. For an online version of this assessment, visit ... (if diabetic and no recent eye exam) ___ Lions Club for glasses prescription filled ___ Medical Doctor for
[DOC File]Optokinetic nystagmus (OKN) tests
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The reflex is fully developed by 5-6 months, but is present in a crude form in newborn infants. When a subject views a rotating striped drum, his or her eyes involuntarily follow a stripe with a “slow eye movement” (SEM), then return with a fast eye movement (FEM) to …
[DOCX File]Welcome to the Vanderbilt Health Affiliated Network
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Physical Exam and Diagnostic Studies. A physical exam can assess for end organ damage for patients with HTN. Fundoscopic eye exam should be performed to evaluate for hypertensive retinopathy. NICE. Cardiac exam should include auscultation to evaluate for abnormal heart sounds, such as murmurs or arrhythmias. Lung auscultation should be performed.
[DOC File]Queen Mary University of London
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LTC Tower Hamlets. Template Guide . 2017 . Template Version Control Page. LTC Tower Hamlets Template Guide. Title LTC Review Tower Hamlets Clinical domains covered Hypertension, CHD, AF, HF, PAD, Stroke/TIA, Diabetes, Asthma, COPD, Hypothyroid, Cancer, LD, Epilepsy Descriptor This template supports QOF and TH LTC holistic care (vr7) Version 7 …
[DOC File]VA.gov Home | Veterans Affairs
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Diabetic Eye Exam DUE NOW 06/01/2003 06/01/2002. Example of Reminder Maintenance as displayed on a health summary ... This form provides very extensive cover sheet list management capabilities. It consists mainly of three large list areas.
[DOC File]DiabetesPro - American Diabetes Association
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Chronicle Diabetes Assessment Form Your diabetes educator has requested that you answer some questions about your diabetes in preparation for your education session. By answering these questions, you’ll be providing valuable information to your diabetes care team.
[DOC File]SAMPLE LETTER TO SEND TO PATIENTS/Diabetes
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Annual Eye Exam-, Over 20,000 people a year is blinded by diabetes .Make sure you are getting a complete eye exam. This means having your eyes dilated. 4. Foot Exams-make sure that you take off your shoes when you see your doctor so that your feet can be checked almost 100,000 people suffer from lower limb extremity amputations each year.. 5 ...
[DOC File]C&P Service Clinician's Guide - Veterans Affairs
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Eye movements are displayed graphically on a strip chart or a video display. The typical ENG battery consists of oculomotor tests (saccades, smooth pursuit or pendular tracking, and optokinetic tests), positional and positioning tests as described above, and caloric stimulation using cool and warm water or air.
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