hello there sorry to hear about your recent illness um i hear that your latest test is
negative so we're just going to do a few health checks in the clinic today just to cover a few
bases and see how things are looking okay so let's start off uh just by checking your temperature
non contact device here as you relax just hold it against the forehead
and see what kind of reading we're getting here
okay we're getting 36.4 degrees there it's a good sign so hopefully you are on the road to recovery
right moving on let's have a little look
at your vision so has your vision been okay during your period of illness
okay cover your left eye so let's see please
keep that eye covered and read the target
okay just cover the opposite eye next
okay i'll cover the eye good looking vision there thank you
sometimes the pupils can be affected with a virus so i'm going to use the pupil
measuring scale here in a second let's just have a little look
for any gross anisocoria
relax
just using the naked eye there the light source looks very equal to me
okay just keep looking straight ahead
try not to look left or right
to check the individual pupil sizes using some form of scale there
excellent so it looks like we have
pupil sizes in these conditions equally at five millimeters that's a good sign
and obviously we want to check the pupil light reactions
so if we've got normality there keep looking straight ahead little light source
under each eye
to check the direct and then the consensual responses i'm just ensure there's no
relative afferent pupillary defect
thank you
all right i'm going to have a little look at the conjunctival surface
making sure that there's no signs of
uh oedema redness those kinds of things
anything that could be associated with ocular virus
including watering as well i'm going to use two
magnified light sources to keep the distance between us
your job is to look straight please to begin with
and then i'm just going to check the conjunctival membrane on the lateral areas
now look to the right
and look to the left
just looking up
looking down
just take a blink
have you had any extra watery eyes recently?
any redness to the white surface of the eye?
let's check the left eye
let's keep looking straight
city seems to be no oedema thus far look to the right please
just check the temporal surface there look to the left
looking up to the ceiling
as the inferior is on there looking fine there's no redness
okay just look down
okay that's looking fine thank you
so the eyes themselves visually
and on the external areas it's looking fine pupils themselves are fine so that's good news
now let's move on to having a look inside your mouth with your illness have you experienced
any problems lots of appetite? problems swallowing? pain in the mouth or any ulcers?
okay so just a loss of appetite
open wide
okay just say ah
and again
and once more
very objective test so just relax
good
have you had any problems with your breathing?
blocked nostrils blocked airways?
let's have a little look inside the nose
start with the right nostril
grossly and then we'll look through the otoscope window just the external areas first inflammation
looking fine
inflammation so the level of mucus is relatively normal
looking left eat nostril there very good sign there thank you
all right
i want to have a little fail of your lymph nodes now just before having a look
investigating the ears okay
just relax please
looking for any swelling
to move down the neck
seems to be recovering well keep looking into the distance for me
i'm just going to do a little cover test
maybe a little bit of exophoria there, during your illness did you experience any double vision?
okay is it usually distance on there and how long does it seem to last?
and it's more when you're watching the television?
right we'll do is then we'll have a little look with the prism bar here
this is the prism bar because we saw a little bit of exophoria in the distance be using the base
in setting just to see if we can increase the ocular comfort looking in the distance
okay just tell me which amount of prism feels
most comfortable as you're looking into the distance please
okay so that's a little bit too much let's reduce the prism down
okay
that feels good there
just a little bit more again then okay so it looks as though we have two
diopters base in there out of the right eye not sure if that's going to help with the double
vision looking at the tele intermittently might be something we can mention to your optometrist
and they can measure and prescribe prism in your spectacles let's just confirm that the prism and
we'll come down a little bit to the area of most comfort two diopters two diopters okay thank you
all right
have a little look inside your ears now during your illness any problems such as
ear pain loss of hearing discharge?
just look to the left side then
look through the ear canal any problems
make sure everything's looking okay
so good right here
look to the right side for me please
looking fine
inside these very good thank you
all right just do a little hearing test using the tuning fork here we'll ring the
tuning fork hold it next to the ear like sir just tell me you stop hearing the sound please
just tell me when
and for the left side
tell me when you stop hearing it please
there that seems about equal thank you okay
and the forehead we go hearing it more right left side or about equal? okay if we just change
and repeat that one now
all right left we're about equal
thank you so everything's looking a lot better than it was you're obviously testing negative
my tests are looking fairly normal just that slight issue about the double
vision when you're watching the television it's intermittent, we did measure that there was about
two to four base in and that helped the phoria so i want you to have a look
at this with your optometrist and get them to have a look inside your eyes as well just
to make sure everything's okay and maybe do a visual field test and check eye pressures
other than that everything's looking good so keep drinking lots of water
and just try and rest as much as you can that's everything and i'll see you next time