Peds

Question 0

Ddx buphthalmos

Answer 0

Congenital glauc
Sturge weber (check for port wine stain and choroidal hemangiomas)
Ched
Stumped for k cloudiness

Question 1

Ddx cloudy cornea

Answer 1

Stumped
Sclerocornea
Trauma 
Ulcer
Metabolic
Peters
Endothel dystrophy
Dermoid

Question 2

What do you need to look for on exam for congen glaucoma 3 things

Answer 2

1. Myopic shift from axial elongation
2. Apd
3. K diameter >12mm

Question 3

Ddx band k 7 things

Answer 3

1. Jia
2. So
3. Chronic rd
4. Hyperparathyroidism
5. Vit d toxicity
6. Hypercalcemia
7. Inflammatory conditions such as gout or sarcoid

Question 4

What can cause high calcium in blood?

Answer 4

Renal failure
Hyperparathyroid
Vit d toxicity

Question 5

Ddx newborn w discharge

Answer 5

Bacterial conjunctiv
Chlamydial conjunct
Hsv
Chemical conjunctivitus

Question 6

What stains for gonnorhea

Answer 6

Chocolate agar or thyer martin

Question 7

What test do you need to check for chlamydia?

Answer 7

1) Enzyme linked immunoassay

2) Direct florescent ab test

Question 8

How do you cover a baby for chlamydia and gonnorhea?

Answer 8

Gonnorrhea:
Ceftriaxone 50mg/kg/day x 1wk
Or iv pcn 
Chlamydia
Eruthromycin 50mg/kg/day qid x 10-14 days

Question 9

Ddx large et

Answer 9

Congen et
Accomodative et
Sensory et (rb or cat)
Duanes

Question 10

whats the stereo in intermittant XT?

Answer 10

perfect 40 sec of stereo

Question 11

when do you do surgery on an intermittant xt?

Answer 11

when they cant control it with convergence anymore

Question 12

whats the natural history of intermittant xt>

Answer 12

develops in kids > 2 yo

manifests when tired, daydreaming, illness, sedatives

Question 13

whats the preferred alignment after surgery for intermittant xt?

Answer 13

slightly et

Question 14

whats the treatment options for X(T)

Answer 14

1) patching part time dominant eye
2) over minus glasses- force accomodate more
3) fusional convergence exercizes

Question 15

when do you operate on x(t)?

Answer 15

1) try to wait till after 4 yo

2) if they are not fusing

Question 16

what type of surgery for x(t)?

Answer 16

b/l LR recsss
or
r and r- but often leaves pts with residual incomitat xt

Question 17

what distinguishes a phoria from a tropia?

Answer 17

ability to control it. if cant control it, it is a tropia

Question 18

what type of surgery for sensory xt?

Answer 18

RR of amblyopic eye

Question 19

why would a kid have a head turn?

Answer 19

1) nystagmus- search for null point

2) incomitant strabismus

Question 20

v pattern is associated with over action of?

Answer 20

io

Question 21

where do you move the LR in a v pattern?

Answer 21

MALE- move medials to apex of v and laterals opposite way

Question 22

how do you treat v pattern?

Answer 22

1) male
or
2) io weakening

Question 23

what do you do with xt a pattern?

Answer 23

LR recession w male. stay away from so surgery

Question 24

how does convergence insufficiency present?

Answer 24

straight at distance and x at near -

rx w pencil pushups

Question 25

Whats a normal ac/a ratio?

Answer 25

5 pd

Question 26

Ddx kid w et 4 things

Answer 26

1. Congen et
2. Accomodative et
3. Duanes
4. Sensory et (cat, rb)