WordNet
- undergo a test; "She doesnt test well"
- any standardized procedure for measuring sensitivity or memory or intelligence or aptitude or personality etc; "the test was standardized on a large sample of students" (同)mental test, mental testing, psychometric test
- the act of undergoing testing; "he survived the great test of battle"; "candidates must compete in a trial of skill" (同)trial
- the act of testing something; "in the experimental trials the amount of carbon was measured separately"; "he called each flip of the coin a new trial" (同)trial, run
- a hard outer covering as of some amoebas and sea urchins
- put to the test, as for its quality, or give experimental use to; "This approach has been tried with good results"; "Test this recipe" (同)prove, try, try out, examine, essay
- achieve a certain score or rating on a test; "She tested high on the LSAT and was admitted to all the good law schools"
- determine the presence or properties of (a substance)
- show a certain characteristic when tested; "He tested positive for HIV"
- an examination of the characteristics of something; "there are laboratories for commercial testing"; "it involved testing thousands of children for smallpox"
- the act of subjecting to experimental test in order to determine how well something works; "they agreed to end the testing of atomic weapons"
- a small portable battery-powered electric lamp (同)torch
- tested and proved useful or correct; "a tested method" (同)tried, well-tried
- tested and proved to be reliable (同)time-tested, tried, tried and true
PrepTutorEJDIC
- (人の能力などの)『試験』,考査,テスト / (物事の)『試験』,検済,試錬,実験《+of+名》 / 化学分析;試薬 / =test match / …‘を'『試験する』,検査する / …‘を'化学分析する / (…の)試験を受ける,試験をする《+for+名》
- 《おもに米》懐中電灯(《英》torch) / =flash bulb / (灯台などの)信号灯
- 揺れる,揺れ動く / 威勢のよい,活発な / (特に性生活が)当世風の,進んでいる
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/09/24 21:57:08」(JST)
[Wiki en表示]
The swinging-flashlight test is used to help a practitioner identify a relative afferent pupillary defect.
Contents
- 1 Process
- 2 Interpretation
- 3 References
- 4 See also
- 5 External links
Process
For an adequate test, vision must not be entirely lost. In dim room light, the examiner notes the size of the pupils. The patient is asked to gaze into the distance, and the examiner swings the beam of a penlight back and forth from one pupil to the other, and observes the size of pupils and reaction in the eye that is lit.
Interpretation
- Normally, each illuminated pupil promptly becomes constricted. The opposite pupil also constricts consensually.
- When ocular disease, such as cataract, impairs vision, the pupils respond normally.
- When the optic nerve is damaged, the sensory (afferent) stimulus sent to the midbrain is reduced. The pupil, responding less vigorously, dilates from its prior constricted state when the light is moved away from the unaffected eye and towards the affected eye. This response is an afferent pupillary defect (Marcus Gunn Pupil).
References
- Bickley L.S. 2008. Bates' guide to physical examination and history taking. 10th ed. Lippincott Williams and Wilkins, New York. p. 244.
See also
External links
- http://library.med.utah.edu/neurologicexam/html/cranialnerve_normal.html#05
Medical examination and history taking
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Medical history |
- Chief complaint
- History of the present illness
- Systems review
- Allergies
- Past medical history
- Family history
- Social history
- Psychiatric history
- Progress notes
- Mnemonics
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Physical examination |
General/IPPA
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- Inspection
- Auscultation
- Palpation
- Percussion
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Vital signs
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- Temperature
- Heart rate
- Blood pressure
- Respiratory rate
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HEENT
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Oral mucosa · TM · Eyes (Ophthalmoscopy, Swinging-flashlight test) · Hearing (Weber, Rinne)
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Respiratory
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- Respiratory signs and symptoms
- Respiratory sounds
- Cyanosis
- Clubbing
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Cardiovascular
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- Precordial examination
- Peripheral vascular examination
- Cardiovascular signs and symptoms
- Other
- Jugular venous pressure
- Abdominojugular test
- Carotid bruit
- Ankle brachial pressure index
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Abdominal
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Digestive
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Liver span · Rectal · Murphy's sign · Bowel sounds
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Urinary
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Murphy's punch sign
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Extremities/Joint
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Back (Straight leg raise) · Knee (McMurray test) · Hip · Wrist (Tinel sign, Phalen maneuver) · Shoulder (Adson's sign) · GALS screen
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Neurological
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- Mental state
- Mini–mental state examination
- Cranial nerve examination
- Upper limb neurological examination
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Neonatal
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- Apgar score
- Ballard Maturational Assessment
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Gynecological
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- Well-woman examination
- Vaginal examination
- Breast examination
- Cervical motion tenderness
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L/I |
Labs (Electrolytes, ABG, LFT) · Medical imaging (EKG, CXR, CT, MRI)
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A/P |
Medical diagnosis · Differential diagnosis
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UpToDate Contents
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English Journal
- [New insights into the study of optic nerve diseases].
- Negi A.SourceDivision of Ophthalmology, Department of Surgery Related, Kobe University Graduate School of Medicine, 7-5-1- Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan. negi@med.kobe-u.ac.jp
- Nippon Ganka Gakkai zasshi.Nihon Ganka Gakkai Zasshi.2013 Mar;117(3):187-210; discussion 211.
- Optical coherence tomography (OCT) provides a new dimenstion in ophthalmology because it allows evaluation of the pathology in vivo, and provides information to assist the management of macular disease and glaucoma. It is necessary to differentiate the diagnosis of glaucoma from diseases of the opti
- PMID 23631254
- Glaucoma Screening Using Relative Afferent Pupillary Defect.
- Charalel RA, Lin HS, Singh K.SourceDepartment of Ophthalmology, Stanford University School of Medicine, Palo Alto, CA.
- Journal of glaucoma.J Glaucoma.2013 Jan 3. [Epub ahead of print]
- PURPOSE:: To assess the relative afferent pupillary defect (RAPD) by swinging flashlight as a potentially useful screening test for glaucomatous optic neuropathy. METHODS:: One hundred seven subjects prospectively recruited from a mixed population of glaucomatous and nonglaucomatous patients were ex
- PMID 23296370
Japanese Journal
- 瞳孔検査:RAPD (視路疾患の診かた--検査法からみた視路疾患) -- (機器を用いない視路疾患の検査法)
Related Links
- 眼科・各種検査 swinging flashlight test ・ 光を左右の眼、交互に当てる検査。 ・ 視神経が障害されると、光に対する反応が鈍くなるため、 光を健眼から患眼に移したときに、散瞳が認められる。 (相対的求心路瞳孔障害、Marcus ...
- The Swinging Flashlight Test aims to reveal any asymmetry of afferent input in the pupillary light reflex, i e, a relative afferent pupil defect (RAPD). The display aims to illustrate the test procedure and the outcomes for different degrees ...
Related Pictures
★リンクテーブル★
[★]
- 英
- swinging flashlight test
- 同
- 交互対光反射試験
- 関
- 相対的瞳孔求心路障害 relative afferent pupillary defect RAPD。マーカスガン瞳孔 Marcus Gunn pupil
- 検査方法:左右の眼に交互に光を当てる。
- 異常の判断:患側に光を入れても患側の瞳孔が収縮しない。
正常:光> ・ ○
○ ・ <光
異常: (右眼)
光> ・ ○
○ ◎ <光
光> ・ ○
- 異常が出るメカニズム:患側の直接反応は、健側の間接反応の方が弱い。そのため、健側から患側に光を当てると、患側の瞳孔が拡張する。
- 視神経障害(外傷性視神経障害、視神経炎、末期緑内障など)、広範な網膜障害(重度の網膜剥離)
- 異常がある場合、相対的求心路瞳孔反応異常あり(RAPD relative afferent papillary defect)という。
[★]
- 関
- assessment、data quality、exam、examination、examine、experimental design、matched group、measurement、research design、scoring method、test、trial
[★]
テスト