EENT

Question 1

Eye redness, itchiness, irritation, feeling sand in eye, raised yellow patch near nose

Answer 1

Pinguecula

Question 2

Pinguecula investigations?

Answer 2

Clinical diagnosis

Question 3

Pinguecula treatment?

Answer 3

If severe, eye drops to lubricate, surgery for cosmesis or growth over cornea affectinf vision

Question 4

Eye redness, blurred vision, irritation, maybe vision loss, feeling foreign object

Answer 4

Pterygium

Question 5

Pterygium investigations?

Answer 5

Clinical diagnosis

Question 6

Pterygium treatment?

Answer 6

Only if discomfort severe: eye drops, surgery for cosmesis or vision

Question 7

Eye pain, redness, discomfort, tearing, photophobia (No discharge)

Answer 7

Episcleritis

Question 8

Episcleritis investigations?

Answer 8

Clinical diagnosis

Question 9

Episcleritis treatment?

Answer 9

Symptomatic: NSAID eyedrops, topical steroids if severe

Question 10

Deep eye pain, photophobia, poor vision, inflammation

Answer 10

Scleritis

Question 11

Scleritis treatment?

Answer 11

Treat cause, NSAID eyedrops, corticosteroud eyedrops, surgery if vision affected

Question 12

Scleritis investigations?

Answer 12

Clinical diagnosis

Question 13

Eye pain, redness, tearing, photophobia, feeling something in their eye

Answer 13

Corneal abrasion

Question 14

Corneal abrasion investigations?

Answer 14

Clinical diagnosis, confirm with fluorescein

Question 15

Corneal abrasion treatment?

Answer 15

Resolves in 24-48 hours, offer patch, topical NSAID

Question 16

Eye pain, photophobia, tearing, foreign body sensation, purulent (bacterial) or watery (viral) discharge, green on fluorescin

Answer 16

Corneal ulcer

Question 17

Corneal ulcer investigations?

Answer 17

Seidel test (fluorescin), culture

Question 18

Corneal ulcer treatment?

Answer 18

Ophtho referral, antibiotics/antiviral drops

Question 19

Eye pain, tearing, blurred vision, photophobia, redness, eyelid edema, foreign body sensationfluorescin, dendritic lesion on fluorescin

Answer 19

Ketatitis (w HSV)

Question 20

Keratitis investigations?

Answer 20

Fluorescin stain

Question 21

Keratitis treatment?

Answer 21

Topical/systemic antivirals, dendrite debridement, corneal transplant with loss of vision, (No steroids)

Question 22

Yellow flakes/scales in lashes, pruritis, burning eye pain, excessive tearing, inflamed lid margins

Answer 22

Blepharitis

Question 23

Eyelid margin inflammation commobly due to blocked oil duct

Answer 23

Blepharitis

Question 24

Blepharitis investigations?

Answer 24

Clinical diagnosis

Question 25

Blepharitis treatment?

Answer 25

Warm compress, baby shampoo, eyelid cleanser, abx if bacterial superinfection (doxy/minocycline)

Question 26

Benign noncancerous growth made of hyalin that develops on the conjunctiva of the eye, associated with aging

Answer 26

Pinguecula

Question 27

Benign noncancerous wedge shaped growth on conjunctiva of eye, grows over cornea, flesh coloured

Answer 27

Pterygium

Question 28

What is keratitis?

Answer 28

HSV infection of the cornea, triggered by stress/fever/immunosuppression/meds/trauma/sun exposure, may cause loss of vision

Question 29

Blickage of an eyelid gland forming a small abscess

Answer 29

Hordeolum (stye)

Question 30

Pustule at eyelid margin, acute pain of eyelid, palpable nontender nodule, erythema at eyelid

Answer 30

Hordeolum

Question 31

Hordeolum investigations?

Answer 31

Clinical diagnosis

Question 32

Hordeolum treatment?

Answer 32

Warm compress, self resolves, d/c makeup application until resolves

Question 33

Lump developing due to blockage and swelling if an oil gland in the eyelid

Answer 33

Chalazion

Question 34

Painless, isolated eyelid swelling, nintender rubbery nodule

Answer 34

Chalazion

Question 35

Chalazion investigations?

Answer 35

Clinical diagnosis

Question 36

Chalazion treatment?

Answer 36

Warm compress, I&D if not improving