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9 Ishihara Colorblindness Test A" B" C" D" E" F" 395
10 Optical Illusions A. Focus on the center circle and explain what you see. B. Is the center circle on the right or left larger? 396!
11 Optical Illusions C. There is a 3D image in this picture. Focus and unfocus your eyes until it pops out. What do you see? D. There is a 3D image in this picture. Focus and unfocus your eyes until it pops out. What do you see? 397
12 Optical Illusions E. Focus on the center of the image and explain what you see.! F. How many people are in this image? 398!
13 Optical Illusions G. Stare at the black spot for 30 sec, then look at a white wall or sheet of paper. Explain what you see. H. Stare at the nose for 30 sec, then look at a white wall or sheet of paper. Explain what you see
14 Optical Illusions I. Stare at the white spot for 30 sec, then look at a white wall or sheet of paper. Explain what you see. J. Stare at the center spot for 30 sec, then look at a white wall or sheet of paper. Explain what you see. 400!
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16 Occurs when blood flow to a portion of the brain is halted Causes & Risk Factors Certain types are hereditary Blood vessel is clogged by plaque or blood clot Blood vessel bursts Diabetes High cholesterol Increasing age Unhealthy lifestyle choices Symptoms Treatment Options Severe headache Change in hearing, taste, touch, or vision Change in alertness Loss of coordination & balance Confusion or memory loss Muscle weakness or numbness (usually onesided) Hospitalization Blood clot = clot busting drugs (thrombolytics) Blood thinners Surgery to open clogged vessel Surgery to repair vessels Stroke rehabilitation C A B C D E A. B. C. D. E.
17 Causes & Risk Factors Hereditary Family history Age: over 60 High insulin levels Past head trauma A form of dementia associated with age Symptoms Memory loss Confusion & disorientation Mood & behavior changes Difficulty performing everyday functions Unfounded suspicions Difficulty speaking, swallowing, and/or walking Treatment Options Uncurable Medication Removing behavior triggers Psychological coping skills Herbal therapies Stem cells A B C A. B. C
18 Brain disorder that makes it difficult to communicate Causes & Risk Factors Cause is not well understood Family history Hereditary Mostly males Environmental Past medical issue Symptoms Delay in learning to talk/non-communicative Repeated behaviors Unusual attachment to object or routine Anxiety Depression A Treatment Options Medication Coping skills Specialized therapy Behavioral management Anxiety management B C C D A. B. C. D
19 Infection in the meninges surrounding the brain Causes & Risk Factors Bacteria or viral infection Drug allergies Fungi or parasites Chemical irritations Tumors Symptoms Nausea & vomiting Sensitivity to light Fever & chills Mental status change Stiff neck Severe headache Irritation Treatment Options Bacterial - hospitalization Antibiotics Medication to treat symptoms Prevention with vaccination A B D C A. B. C D.
20 Autoimmune disease that damages the myelin sheath Causes & Risk Factors Cause not well understood Hereditary Family history Diagnosed between Nerve damage caused by inflammation Possibly viral infection Environmental factors Symptoms Vary depending on location & severity Muscle weakness, spasms, tremors, & numbness Incontinence & frequent urination Constipation & stool leakage Vision & hearing loss Depression, dizziness, fatigue, & memory loss Treatment Options No known cure Medications to slow disease progress Steroid treatments Physical therapy Assistive devices Healthy lifestyle choices A B C D C A. B. C. D
21 Damage to the spinal cord Causes & Risk Factors Symptoms Treatment Options Direct injury or disease Assault, fall, accident Weakened vertebral column Fluid build-up around spinal cord Most common in men ages A Weakness Loss of feeling below damaged site Spastic muscles Loss of bladder & bowel control Pain and/or numbness Paralysis Completely severed spinal cord cannot be cured Medication to reduce swelling Surgery Bed rest Spinal traction Physical therapy B C C D A. C B. C D.
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Dr.Br own 7. Do you feel you eat a healthy diet? 8. Please describe why or why not? 9. Do you exercise regularly? Yes No 10. If yes, what type of exercises and how many days per week? 11. Have you ever
Faculty of Clinical Forensic Medicine Committee 1/2018
Guideline Subject: Clinical Forensic Assessment and Management of Non-Fatal Strangulation Approval Date: January 2018 Review Date: January 2021 Review By: Number: Faculty of Clinical Forensic Medicine
CECILIA P MARGRET MD PhD MPH Child, Adolescent and Adult Psychiatry NE 24th ST Suite 104, Bellevue WA 98007, Phone / Fax: +1 (425)
IDENTIFYING INFORMATION PATIENT INFORMATION FORM Patient's Name: DOB: Ethnicity/race: Gender: Primary language if other than English: Address: Phone: Home/ Mobile/ Work Email: Occupation: Marital Status:
Osher Center for Integrative Medicine Pediatric Intake Form Name: Date: Date of Birth: Age: Current Pediatrician:
Pediatric Intake Form Name: Date: Date of Birth: Age: Current Pediatrician: How did you hear about us? What are your goals for this visit? Where would you like to see improvement in your child s health?
DISORDERS OF THE NERVOUS SYSTEM
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Integrative Consult Patient Background Form
Let Us Know More - So We Can Help Thank you for choosing to schedule an integrative medicine consultation with UC Health. To help us meet your needs during your visit, please take some time to sit in a
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Bridges Family Wellness PC. New Patient Intake. Bridges Family Wellness Intake Form SE Lake Rd, Suite 102 Milwaukie, OR
New Patient Intake Bridges Family Wellness Intake Form Full Name: * What is your birthdate? MM/DD/YYYY * What is your gender identity? * Home address: * Cell Phone * Other Phone number(s): Emergency Contact
New Patient Information
Geoffrey G Glidden MD PA New Patient Information Name Address City/State/Zip Cell Phone Home Phone DL# SSN# Age of Birth Sex: Male / Female Your employer Occupation Work Phone E-Mail Referring Physician