GET TO KNOW Flashcards
(12 cards)
management of glue ear
active observation: first presentation of otitis media with effusion is active observation for 3 months - no intervention is required
grommet insertion - to allow air to pass through into the middle ear and hence do the job normally done by the Eustachian tube. The majority stop functioning after about 10 months
adverse effects of bisphosphonates
oesophageal reactions
osteonecrosis of jaw (cancer patients on IV)
atypical stress fracture
requirements for antibiotics in ?tonsilitis
For an antibiotic to be necessary, 3 of the following should be present:
- Presence of tonsillar exudate
- Tender anterior cervical lymphadenopathy or lymphadenitis
- History of fever >38
- Absence of cough
mx of mono
supportive!
mx of anterior uveitis
topical steroids + cycloplegia (mydriatic) drops (such as atropine)
Periorbital (preseptal) vs Orbital cellulitis:
Absence of;
- painful movements
- diplopia
- visual impairment
…indicates the former
which glaucoma drops causes long lashes
latanoprost !
- also brown pigmentation of iris
(prostaglandin analogue)
MoA of glaucoma drugs
reduces aqueous production
- timolol
- acetazolamide
increases uveoscleral outflow
- latanoprost
- pilocarpine
does both = brimonidine (sympathomimetic)
mx of open glaucoma
IOP >= 24 = 360 selective laser trabeculoplasty 1st line
then –> latanoprost
then - betablocker, carbonic anhydrase inhibitor, sympathomimetic
refractory cases -> trabeculectomy
when is a PHQ-9 score used and what means what
used for depression severity
<16 = less severe -> CBT
> =16 = more severe -> SSRI + CBT
management of dry ARMD
High dose of beta-carotene, vitamins C and E, and zinc can be given to slow deterioration of visual loss
(no curative medical tx for dry ARMD)
mechanism of action of goserelin in prostate cancer
GnRH Agonist
(not antagonist)
