Title |
Frequency of Direct Funduscopy Upon Initial Encounters for Patients with Headaches, Altered Mental Status, and Visual Changes: A Pilot Study
|
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Published in |
Frontiers in Neurology, November 2015
|
DOI | 10.3389/fneur.2015.00233 |
Pubmed ID | |
Authors |
Esteban Golombievski, Michael W. Doerrler, Sean D. Ruland, Matthew A. McCoyd, José Biller |
Abstract |
To determine the performance of direct funduscopy (DF) as part of the initial clinical assessment among different faculty physicians and residents from internal medicine, emergency medicine, and neurology (N). Retrospective study of 163 randomly reviewed charts of patients (>18 years) presenting either to the ED, inpatient units, or outpatient clinics from January 2001 to July 2013, with corresponding ICD-9 codes for headaches, altered mental status, and visual changes. Although the Neurology Service was the one who performed most DF upon initial evaluation, DF is infrequently done throughout services independent of inpatient or outpatient location. Two thirds of the patients (66%) presenting with visual symptoms had evaluation done by Ophthalmology, which in some instances contributed to the final diagnosis. A more robust teaching of DF should be included among the basic clinical competencies during Medical School and Neurology Residency training. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United Arab Emirates | 1 | 33% |
Iraq | 1 | 33% |
Switzerland | 1 | 33% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 67% |
Practitioners (doctors, other healthcare professionals) | 1 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 24 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 3 | 13% |
Researcher | 3 | 13% |
Student > Doctoral Student | 2 | 8% |
Student > Ph. D. Student | 2 | 8% |
Student > Master | 2 | 8% |
Other | 2 | 8% |
Unknown | 10 | 42% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 5 | 21% |
Social Sciences | 3 | 13% |
Mathematics | 1 | 4% |
Nursing and Health Professions | 1 | 4% |
Psychology | 1 | 4% |
Other | 2 | 8% |
Unknown | 11 | 46% |