During an ophthalmoscope exam, yellow spots are noticed. How should this finding be documented?

The finding of yellow spots observed during an ophthalmoscope exam is best documented as "Drusen." Drusen are yellowish-white lesions that can form on the retina, often associated with age-related macular degeneration but can also occur in other retinal disorders. They represent a build-up of extracellular material that can signal potential issues in retinal health.

When documenting findings in an eye examination, it's important to use precise terminology to convey the nature of the lesions being observed. In this case, calling the yellow spots "Drusen" accurately describes their appearance and potential implications. Other terms like "exudates," "hemorrhages," and "retinal lesions" do not specifically identify the characteristics of the yellow spots as well as "Drusen" does, leading to less precise documentation. Using the correct terminology ensures clarity in communication among healthcare providers and helps in tracking changes in the patient's condition over time.