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Gerry by Mind Map: Gerry

1. Interview

1.1. Referral to optometrist

1.1.1. Eye test

1.1.1.1. Hasn't had one in 12 years

1.2. General health

1.2.1. Age

1.2.2. Weight

1.2.2.1. Overweight

1.2.2.1.1. BMI of 29

1.2.3. Height

1.2.4. Physical activity levels

1.3. Hx

1.3.1. HOPC

1.3.1.1. Mechanism of fall

1.3.1.1.1. Treatment

1.3.1.1.2. Frequent

1.3.1.1.3. When?

1.3.2. Medical hx

1.3.2.1. Non smoker/drinker

1.3.2.2. Family hx

1.3.2.2.1. Father

1.3.2.2.2. Mother

1.3.2.2.3. Sister

1.3.2.3. NIDDM

1.4. Environment

1.4.1. Social support

1.4.2. Home accessibility

1.4.2.1. Stairs?

2. Learning Issues

2.1. 1. NIDDM

2.1.1. Consequences of poor mx?

2.1.1.1. Impaired vision

2.1.1.2. Neuropathy

2.1.1.3. Foot ulcers

2.1.2. Adam

2.2. 2. Bifocal glasses & ankle mx

2.2.1. Vision tests

2.2.2. Retinopathy

2.2.3. Jeremy

2.3. 3. CTSIB

2.3.1. Brendan

2.4. 4. Prevalence of falls in elderly

2.4.1. Relationship b/w diabetes?

2.4.2. Extrinsic & intrinsic factors

2.4.3. Taylor

2.5. 5. Support for Indigenous Australians in rural areas

2.5.1. Derrick

2.6. 6. Mx of falls

2.6.1. Dimmy

2.7. 7. Indigenous health stats

2.7.1. Jaydan

3. Physical Exam

3.1. Sensory tests

3.1.1. Reflexes

3.1.1.1. Condition of NS

3.2. ROM

3.2.1. Limited R ankle dorsiflexion

3.3. Gait analysis

3.4. Referral for investigation via medical imaging

3.4.1. If Ottawa ankle rules permit

3.5. Balance

3.5.1. R ankle instability

3.6. Muscle

3.6.1. MLT

3.6.2. MST

3.6.3. Bulk

3.6.3.1. Wasted foot intrinsics

4. Key Info

4.1. Grandfather

4.2. Lives close to family

4.3. Mechanism of injury

4.3.1. Twisted awkwardly

4.3.2. R ankle

4.3.2.1. Throbbing

4.3.3. Wearing thongs

4.3.4. Few drinks*

4.4. Impaired vision

4.4.1. Wears glasses

4.5. Indigenous Australian

5. Problems & Hypotheses

5.1. Ankle

5.1.1. Muscle

5.1.1.1. Peroneus longus?

5.1.2. Joint

5.1.2.1. Sprain

5.1.2.2. Arthritis

5.1.3. Ligament

5.1.3.1. Sprain

5.1.3.2. ATFL

5.1.3.3. Deltoid

5.1.4. Bone

5.1.4.1. #

5.1.4.1.1. Avulsion

5.1.4.2. Tibia

5.1.4.3. Fibula

5.1.5. Nerve

5.1.5.1. Autoimmune disease

5.1.5.2. Common peroneal

5.1.5.2.1. Superficial

5.1.5.2.2. Deep

5.2. Fall

5.2.1. Impaired vision/proprioception/coordination

5.2.1.1. Short-sighted

5.2.1.2. Cataracts

5.2.2. Muscle atrophy

5.2.3. Poor footwear

5.2.4. Environment

5.2.4.1. Poor surface?

5.2.4.2. Dark (no light)

5.3. SUPPORTING FACTORS

5.3.1. Wears glasses

5.3.1.1. Bifocal glasses

5.3.2. Alcohol?

5.3.3. Age

5.3.4. Minor swelling after 2 weeks

6. Biopsychosocial

6.1. Bio

6.1.1. Old

6.1.1.1. 61

6.1.2. Aboriginal

6.2. Psych

6.3. Social

6.3.1. Living alone?

6.3.2. Occupation?

6.3.3. Physical environment

6.3.3.1. Rural town

6.3.3.1.1. Poor access to health services