#14 Red Eye assessment Flashcards
(49 cards)
What are the lymph nodes of the head and neck?
Preauricular, Tonsillar nodes (at the angle of the mandible), submandibular
Which of the lymph nodes will have a tenderness to it when palpating patients with Herpes Simplex and Zoster?
Submandibular
Which lymph nodes has an infections of the skin at back of head and frequently enlarged during upper respiratory infections such as Monoucleosis and German Measles?
Posterior cervical lymph nodes
How do the lymph nodes feel with palpation when the body is fighting an infection?
Firm, Tender, Enlarged, Warm (not always)
How do the lymph nodes feel with palpation when the body is having a maglignant disease?
Firm, Non-tender, Fixed, increase in size over time
In what condition would the supraclavicular lymph node swollen?
Chest/abdomen disease such as TB and cancers(lymphoma)
When would you check for lymphadenopathy?
In all cases of red eye
What are the vital signs of optometry?
VA, EOM, pupil
What should you check before slit lamp in a problem focused situation in the case of red eye?
- History
- VA
- Gross observation (gross inspection of injection, check lymphadenopathy, check sinuses)
What are the symptoms that patients have with allergies or sinus infections?
congestion, post-nasal drip, headaches/facial pain over brow, under eyes, or behind eyes.
Percussion is to tap directly over both brows using the ______ finger. Then repeat for each maxillary using the _____ finger to check for pain or tenderness.
middle, index
Which sinus is not accessible to palpation or transillumination?
ethmoid and sphenoid
When using the transillumination method to check for sinuses obstruction, + glow means ______, and - glow means ______.
open, blocked or thickened sinus
Where do you position the transilluminator when observing the frontal sinus?
a. above the supraorbital rim
b. under the supraorbital rim
b
Where do you position the transilluminator when observing the maxillary sinus and what do you ask the patient to do for you?
place light directly on the infraorbital rim and ask the patient to open their mouth.
Do you need to do Gonioscopy with red eye patients?
Yes, check if the angle are close due to cells or flare
What anterior structures you have to check with red eye patients?
- Lid and lashes looking for crusting and MGD
- Palpebral and bulbar conjunctiva
- Cornea - direct, indirect, retro and stain cornea with Fluorescent
- Anterior chamber
- Tono
- Gonio
What dye do you have to use with red eye patient when looking at their cornea when scanning for epithelial defects?
fluorescent dye
T/F Epidermic keratoconjunctivitis (EKC) is not contagious.
False, EKC is very contagious. Make sure to wash hands and clean slit lamp.
What is Keratic Precipitates?
They are inflammatory WBC deposits on the corneal endothelium
How does acute KP looks like?
white and round
How do old KP look like?
irregular, faded and/or pitmented
What does it mean if you see KP and cells?
sign of uveitis
What are the intraocular inflammations associated with KP?
Iritis, Uveitis, post-opt cataract or laser peripheral iridotomy (LPI) surgery
