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.
First-listed diagnosis: ________
Answer: Bilateral internuclear ophthalmoplegia – H51.23
Secondary diagnoses: ________
Answer: Multiple sclerosis – G35
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The combination of a relatively sudden decline in mental status, weight loss, and a hyperdynamic state, coupled with an enlarged thyroid and exophthalmos, suggests ____.
A. hyperthyroidism B. thyroid storm C. goiter D. hypothyroidism
Match the following selections with the statements that correlate.
a. zonogram b. panoramic tomography c. 40 degrees d. focal plane e. exposure amplitude f. 10 degrees or more g. section interval h. maximum blur 1. thin tomographic slice thickness 2. farther from the image receptor 3. uses slit scan radiography 4. higher tomographic contrast with poor resolution 5. should not exceed the section thickness 6. can be less than tube travel distance