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Flashcards in EENT Deck (54):
1

Common symptoms for bacterial conjunctivitis?

Discharge, usually unilateral, no pain, crusted over eyes

2

Common symptoms for viral conjunctivitis?

Foreign body sensation, tearing, burning, bilateral preauricular node involvement

3

Common symptoms of allergic conjunctivitis?

bilateral red eys, severe pruritis, moderate tearing,

4

Differential diagnosis for conjunctivitis?

Iritis- marked conjunctival injection around cornea, unilateral, photophobia, blurred vision

5

When do you refer conjunctivitis?

No improvement in 24 hours, decreased visual acuity, possibility of herpes or zoster

6

Treatment of bacterial conjunctivitis

Gentamycin 2 gtts q 4 hours x 5 days

7

two types of blepharitis?

ulcerative and nonulcerative

8

Differential diagnosis of blepharitis?

Horleolum, conjuncitivits, chalazion

9

Treatment for ulcerative blepharitis?

erythromycin or bacitracin ophthalmic ointment, or sulfactamide sodium solution

10

What is a chalazion?

Meibmian gland obstruction that is nontender

11

What is a hordeleum?

Stye, on eye lashes. Reoccur often with diabetes

12

Assessment for corneal abrasion

Corneal staining

13

Treatment of corneal abrasion

Antibiotic ointment for 5 days; tetanus shot if indicated

14

When to refer corneal abrasion?

If not improved in 24 hours

15

What is hypema?

Blood in anti chamber of eye, usually related to trauma. Refer. 25% have ruptured globe.

16

Symptoms of Uveitis?

Iritis- conjunctival injection, red, slow pupil response, blurry vision, photophobia. REFER!

17

What is scleritis?

Inflammation of sclera, localized on sclera. Benign, seen in collagen disease. May be tender, irritated, or red

18

What is Pinguecula or pterygium

ter-ih-gee-um. May need surgical removal

19

Usual IOP?

10-20

20

What medications to avoid in glaucoma?

Steroids

21

Fundoscopic exam for glaucoma?

increased cup to disk ratio

22

Classic triad for glaumoca?

Increased IOP, peripheral vision loss, and optic nerve atrophy

23

What type of glaucoma is acute?

closed angle glaucoma

24

Symptoms of closed angle glaucoma?

rapid, painful, head ache, fixed non reactive pupil, photophobia, halos around lights at night

25

Signs of otitis external?

Pain in ear, itching, fullness, discharged, diminished hearing

26

Differential diagnosis of otitis externa?

furunculosis, mastoiditis, foreign body, OM, herpes zoster

27

Topical therapy of otitis external?

Oxifloxicin, steroid, neomycin, Tobradex, or lotrimine if fungal

28

Exam findings for ottitis media?

red, bulging, no landmarks, decreased mobility of TM

29

What happens when tympanic membrane ruptures?

There sudden relief of pain

30

What medication should you avoid with OM?

antihistamines

31

Medication for otitis media?

Amoxicillin 1g TID for adults. Wait 48-72 hours in children

32

Treatment for OM with effusion?

Watchful waiting because most clear in after 3 months. Or give Augment or clarithromycin

33

Treatment for ruptured tympanic membrane?

Oxifloxacin gtts BID. Don't use auralgan

34

Red flags for sinusitis?

orbital swelling or pain, swelling of the forehead, or diplopia

35

Pertinent history for sinusitis?

Previous URI, duration of symptoms (initially better, then worse after 5 days), dental pain

36

Significance of transillumination in sinus infection?

If it transilluminates, there's no active infection. For those that do, there's only a 1/4 chance that there's an infection

37

Differences in ambulation with frontal and maxillary sinuses?

Frontal is worsened by laying down, maxillary is worsened by standing up

38

What medication should you avoid in sinusitis and OM?

Antihistamines

39

General treatment for bacterial sinusitis?

Agumentin 875 BID x 10 days

40

Different causes for coryza?

Allergic, vasomotor, mechanical chronic inflammatory, infections, hromonal

41

What is a saddle nose?

a symptom of the nose in Wegener's granulomatosis

42

What orbital symptom can you look for for perennial allergies?

cobblestone like in palpebral conjunctieva

43

Classic allergic nasal objective assessment?

Pale and boggy

44

1st choice medication for rhinitis?

Fluticasone

45

What intranasal drug can you give for prophylaxis for rhinitis for seasonal allergies?

Cromlyn, intranasal

46

Other medications for rhinitis?

Singulair 10 mg po QD, decongestants, antihistamines

47

Clues to EBV/Mono pharyngitis?

petechiae, posterior chain lymphadenopathy, abdominal pain

48

Clues to Group A Strep? (4 main ones)

Fever >100.5, exudate, no cough, and lymphadenopathy; also strawberry tongue

49

What to do if patient is drooling?

Refer to ED emergently

50

Sign of glomerulonephritis?

hematuria

51

What else to do when patient dx with strep?

Throw away toothbrush.

52

What's an important differential diagnosis in sinusitis?

Tooth Abscess

53

When should a patient with a corneal abrasion follow up?

In 24 hours

54

What's the treatment for a corneal abrasion?

Oxifloxicin gtts