ENT PowerPoint Flashcards

1
Q

visual acuity at newborn

A

20/100
20/400

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2
Q

binocularity age

A

2-4 months

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3
Q

when to test for color blindness

A

5 years
- white males

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4
Q

when to test for visual defects and why

A

7 years old since acuity is 20/20

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5
Q

why might newborn have difficulty with color differentiation

A

optic nerve is not myelinated

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6
Q

when will you have final eye color

A

6m

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7
Q

why are children more prone to eye injuries

A

eye is 3/4 size of adults, larger surface area

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8
Q

eye assessment Q’s for infants

A

does your baby follow objects
does your baby react when you are directly in front
do your babies eyes move asymmetrically

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9
Q

eye assessment Q’s for young children

A

does your child follow you with their eyes when they walk in the room
are other objects followed with ease
does your child have difficulty picking up objects
do both eyes work together

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10
Q

eye assessment Q’s for school age child

A

dies your child like to look at pictures and read
dose your child sit very close to the TV
does your child squint or rub eyes
any learning diffuculties

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11
Q

when can children cooperate with snellen chart

A

3-4

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12
Q

eye that deviates can develop into

A

lazy eye

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13
Q

how to fix stambious

A

surgical
or eye patch to strengthen weak eye

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14
Q

conjuntivitis

A

infection of the eye

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15
Q

conjunctivitis causes

A

bacterial
vital
allergic
foreign body

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16
Q

conjunctivitis newborn

A

chlamydia, gonorrhea, herpes simplex, erythromycin in eye

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17
Q

bacterial conjunct appererence

A

crusting of eyelids that keeps coming back
purulent drainage

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18
Q

bacterial conjuct cause

A

staph/strep

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19
Q

viral conjuct apperence

A

serous water drainage
occurs with URI

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20
Q

viral conjuct med

A

acyclovir

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21
Q

allergic conjuct apperence

A

itchy
stringy watery drainage
cobblestone apperence

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22
Q

foreign body conjuct apperence

A

usually one eye affected
pain

23
Q

conjuct precautions

24
Q

when can kid go back to school after bacterial conjuct

A

~24
more likely 48 hours of TX

25
what conjuct do we use oral antibiotics
foreign body
26
bacterial conjuct medication
fluoroqunilones
27
children difference of eustachian tube
shorter wider more horizontal
28
pooling of eustachian tube leads to
otitis media
29
auditory is fully developed at
5 months
30
hearing impaired child
face child when speaking read lips
31
vision impaired child
explain procedures before touching
32
otitis media affects where
middle ear
33
treatment plan for otitis media
watch and wait 2-3 days - ear drum red, bulging, inflamed antibiotics now - ear drum pink and not inflamed, wait and see - no resolution or improvement in 3 day period, start antibiotics
34
biggest indicator of otitis media
pain
35
otitis externa location
distal of tympanic membrane
36
otitis externa also called
swimmers ear
37
treatment for otitis externa
antibiotic ear drops maybe steroid ear drops
38
s/s of otitis media
irritable fever decrease feeding because when you swallow the ears pop poor sleep wake cycle pulling ears blood or pus on pillow
39
what is a risk factor for otitis media
secondhand smoke
40
why do we not prop bottles
pooling can cause otitis media
41
frequent ear infections can lead to
hearing loss
42
what age is child only nose breather
6 mo
43
why are tonsils normally large in children
they are not functioning yet because lymphatic system isn't developed yet
44
why are strong mouth muscles necessary
sucking and speech development
45
tonsilitis - indication for tonsillectomy
7 epi/1 year 5 epi/2 years 3epi/ 3 years
46
criteria for tonsilitis
sore throat temp greater than 38.3 cervial adenopathy tonsilar exudate positive for GABHS
47
treatment following tonsillectomy
cool fluids Tylenol (NO MOTRIN) ice collar gargle with salt and baking soda
48
how to assess for bleeding with tonsillectomy
frequent swallowing
49
do we give red colored foods for post op tonsillectomy
NO mimics bleeding
50
when is highest risk for bleeding post op tonsils
24 hours 7-10 days due to scabs
51
what medication is contraindicated in tonsillectomy
codine - can lead to deep sleep
52
do we ever suction tonsillectomy
NO
53