Chapter 6 Special Sensory Organs: Eye and Ear 277 Audio Activity: Phuong Tao’s Chart Note Directions: At the companion website, listen and read along as the physician dictates the following chart note on Phuong Tao. Then do the exercise that appears after the chart note. CHART NOTE Patient Name: Tao, Phuong ID Number: TP9231 Examination Date: January 7, 20xx SUBJECTIVE This 58-year-old female patient presents with declining vision. She states that she failed her driver’s license eye exam two weeks ago. She wants a “solution” because she drives herself and her mother to the grocery store and to doctor appointments on a monthly basis. OBJECTIVE Vision is 20/50 in the right eye and 20/70 in the left eye. ASSESSMENT Senile cataracts. PLAN Slight improvement in left eye can be obtained by increasing the prescription. Copy of prescription for left eye lens change was given to the patient. Driver’s license form completed. Patient instructed to drive only during the daytime. I informed the patient that cataract surgery is warranted in the near future. I discussed the need for the procedure and its risks and benefi ts. She was given a pamphlet explaining the procedure and will follow up. Assessment Interpret Phuong Tao’s Chart Note Directions: After listening to the dictated recording and reading the chart note on Phuong Tao, provide the medical term that matches each defi nition below. Example: pertaining to near the eye Answer: paraocular 1. clouding of the lens of the eye ________________________________________________ 2. fractional number that represents visual acuity (In this case, the line read by the patient read from a distance of 20 feet can be read by a person with normal vision from a distance of 50 feet.) ________________________________________________ 3. structure of the eye that focuses light onto the retina ________________________________________________