Flashcards in EENT Deck (54)
Common symptoms for bacterial conjunctivitis?
Discharge, usually unilateral, no pain, crusted over eyes
Common symptoms for viral conjunctivitis?
Foreign body sensation, tearing, burning, bilateral preauricular node involvement
Common symptoms of allergic conjunctivitis?
bilateral red eys, severe pruritis, moderate tearing,
Differential diagnosis for conjunctivitis?
Iritis- marked conjunctival injection around cornea, unilateral, photophobia, blurred vision
When do you refer conjunctivitis?
No improvement in 24 hours, decreased visual acuity, possibility of herpes or zoster
Treatment of bacterial conjunctivitis
Gentamycin 2 gtts q 4 hours x 5 days
two types of blepharitis?
ulcerative and nonulcerative
Differential diagnosis of blepharitis?
Horleolum, conjuncitivits, chalazion
Treatment for ulcerative blepharitis?
erythromycin or bacitracin ophthalmic ointment, or sulfactamide sodium solution
What is a chalazion?
Meibmian gland obstruction that is nontender
What is a hordeleum?
Stye, on eye lashes. Reoccur often with diabetes
Assessment for corneal abrasion
Treatment of corneal abrasion
Antibiotic ointment for 5 days; tetanus shot if indicated
When to refer corneal abrasion?
If not improved in 24 hours
What is hypema?
Blood in anti chamber of eye, usually related to trauma. Refer. 25% have ruptured globe.
Symptoms of Uveitis?
Iritis- conjunctival injection, red, slow pupil response, blurry vision, photophobia. REFER!
What is scleritis?
Inflammation of sclera, localized on sclera. Benign, seen in collagen disease. May be tender, irritated, or red
What is Pinguecula or pterygium
ter-ih-gee-um. May need surgical removal
What medications to avoid in glaucoma?
Fundoscopic exam for glaucoma?
increased cup to disk ratio
Classic triad for glaumoca?
Increased IOP, peripheral vision loss, and optic nerve atrophy
What type of glaucoma is acute?
closed angle glaucoma
Symptoms of closed angle glaucoma?
rapid, painful, head ache, fixed non reactive pupil, photophobia, halos around lights at night
Signs of otitis external?
Pain in ear, itching, fullness, discharged, diminished hearing
Differential diagnosis of otitis externa?
furunculosis, mastoiditis, foreign body, OM, herpes zoster
Topical therapy of otitis external?
Oxifloxicin, steroid, neomycin, Tobradex, or lotrimine if fungal
Exam findings for ottitis media?
red, bulging, no landmarks, decreased mobility of TM
What happens when tympanic membrane ruptures?
There sudden relief of pain