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HPI: MB is an 85‐year‐old F with PMH significant for HTN, hyperlipidemia, and peripheral arterial insufficiency who presents today with a concern about vision changes. MB reports some vision changes including increased sensitivity to glare; increased difficulty with dark adaptation, with colors seeming not as vivid as they used to; and increased difficulty with reading, but that she does not have any “floaters” as her friend reported to her last week. She states that she needs bright light to read comfortably. She mentions that this has worsened over the past few years and has become increasingly bothersome. She denies any eye pain or discharge, diplopia, or halos. She has no history of eye trauma. She mentions that her last eye exam was 5 years ago. She denies any history of glaucoma but thinks she may have had some early cataracts on her last exam. MB states that she maintains an independent lifestyle, living alone, and requires no assistance with ADLs. She is worried about going blind and reports her mother had age related macular degeneration.
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HEALTH SCIENCE
NURSING

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