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Flashcards in EENT Deck (54)
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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