hello there, thank you for allowing me to see you today in your home,
I'm going to carry out a range of medical checks just to see how things are
clean my hands
okay let's check your temperature, you'll just hear some beeping sounds
excellent it's in the green range there, right, just looking towards
my nose, just checking the pupil sizes
and for the left
okay so we have an even size there, equal between the two, just looking at my nose
pupil reactions
that's looking fine
keep looking towards my nose
just a cover test
okay that's fine thank you. okay album wide for me
Okay lift the tongue to the roof of the mouth and tongue down
say ah and again
okay I'm going to check with the peak flow meter, you're
to blow into this tube as hard as you can now
so a big breath in and blow out fast
that's fine let's have a look at your blood pressure just give me your left arm, just
place it in there
okay you're just going to feel it inflate
okay
the pressure's fine there
let's have a little listen to your chest
okay just breathe normally
okay deep breath in, hold it, and out
and deep breath in, hold it, and once more, in hold it, and out
let's
have a little tap now, it won't hurt
good
okay I'm going to move back to ocular assessments,
I'm going to check your eyes coming in to follow a target. Now I'm going to rest this here
looking at the spot, follow the line and tell me if it goes double at all
okay still one line there?
and is there any double vision?
okay and do we still have one line?
that's fine thank you
okay keep the head still, follow this target just with your eyes
good just follow this target now just with the eyes
and just up and down, up and down, marvellous,
thank you. Okay cover your left eye with your left hand, okay no peeking through that eye
Okay I want you
to read the smallest rather you can see there
okay cover the other eye with the right hand and we need to read the rows
backwards now from right to left
okay vision is good. Okay let's do some sensations, I'm just going to
run some objects on your face, the soft and the sharp there, it's the sharp and
that's the soft. Do you feel the difference? Close the eyes now tell me which one you feel
okay I'm just going to check one of the nerves that controls
the face so close your eyes. I'm just going to run my fingers across,
tell me if you feel the sensations equally between the two sides
again V1
there V2 here
V3 thank you. All right let's just check your pulse now with my fingers, breathe normally
okay that's fine we're going to have a little feel of the neck now just with my fingers
okay so we have the occipital node the submandibular nodes
and the submental nodes there
okay just cough for me
and swallow
okay just have a little
tap
that's good. Okay I'm going to have a little look inside your ears with the otoscope
okay just turn this way slightly
all areas of the ear externally and internally
okay I'll have a little look inside the ear canal
move the ear a little bit
okay that's fine just turn this way now
okay that's looking good, let's have a look inside the ear canal
okay it's looking clear, normal level
there's no scarring or inflammation right or left
okay
okay I'm going to check your sense of smell.
I'm going to hold the object just under the nose, we need to close the eyes and just breathe there
and tell me what you're picking up. Excellent that was coconut
close your eyes again, breathe in
and what's that there? good that was indeed pine
Okay tricky one now, eyes closed, breathe in through the nose
excellent Birchwood Breeze, and we have one final sample
and inhale, give yourself a moment there
okay any guesses? wood barrel bourbon there. All right so not too bad thank you
Right,
I'm going to do some reflexes just on the arms and the hands,
just relax your arms by your side, so with the right
and the hand
and for the left, let's relax this arm here
and the arm
and the left hand
excellent, right,
I'm going to have a little look inside the eyes now, I'm going to come a little bit closer,
look straight
let's have a look at you at your optic nerve there
okay so the optic nerve looks healthy looks pink and defined
and switch the aperture here, I'm just going to look around mid peripheral eyes
okay into the light and to check the macula and fovea there
okay
looking up to the ceiling, check the peripheries now
and right
and to the left
look down
okay so the retina is looking clear
I'm just going to use the green light just to check some of the nerve fibres if possible
and the blood vessels
good
to for the left, look straight
and the lens is clear
okay optic nerve head pink and defined again, so the cupping is probably 0.4,
similar to the right, vessels look good, they're well defined at the borders
into the light now, nice bright reflex
looks flat and there's no signs of any pathology at the macular
just looking up again
look down
leave that there, look to the right
and look to the left
look straight ahead
normal looking
fibres surrounding the optic nerve, just looking at the first vessel crossings,
no signs of any nipping, a ratio of two to three
no signs of any tortuosity
right, last test, I'm going to place this device just like this with your finger
inside, and just take some final measurements there, so give me your left hand, increase light
and we're just going to give that a moment and I'll check some of the vitals
two right. I'm pleased to say that's a clean bill of health, everything's looking good,
I'll see you again in a year for another check-up