Preventative Care/Pre-op Medicine/Eye Flashcards
(30 cards)
What is the low dose CT scan age range recommendations?
Age 50-80 years, remember patient needs at least 20 pack years, did not quit smoking within the last 15 years
What is the following age range:
AAA screening, age recommendations
Age > 65 years old, male, and smoked over 100 cigarettes in their lifetime
Remember, this only needs to be done x 1
The following conditions have an increased risk of what?
Sclerosing Adenomas
Dense Breast tissue
Early Menstrual Cycle
Complex Fibroadenomas
Intraductal papilloma
Breast Cancer, most risks are fairly low
What is a common sleep disorder characterized by difficulty falling or staying asleep, resulting in adequate sleep and daytime dysfunction?
Insomnia
Pre-operative management
If the patient has known Cardiovascular disease undergoing a moderate to high risk surgery, what may be helpful to order before surgery?
Pre-operative EKG
High risk CV conditions: CAD, PAD, Arrthymia, CVA
Pre-operative management
If a patient has a MET score greater than what, they can proceed to surgery with no issues?
METS > 4, ask about activity around house and able to climb a flight of stairs
Duke Activity Status Index
With Pre-operative management:
A patient needs surgery after cardiac stent placement, what should be done?
Dual anti-platelet therapy should be uninterrupated for 30 days in BMS
DES should be uninterrupated for 3-6 months
Acute surgery is needed, and plavix cessation is discussed. How long should a patient wait until stopping this medication?
Plavix should be continued for 3 months, uninterrupted before complete cessation is considered
Aspirin should be started and restarted when able
Pre-operative
How long should warfarin be held and restarted after surgery?
Hold Warfarin 5 days before surgery, restart in 12-24 hours (based on surgery recomm.)
After surgery, what is the DVT plan?
Locally invasive Ovarian Cancer, total abdominal hysterectomy, BMI 33, and ascities
Low molecular weight heparin for 4 weeks after surgery
If a patient has floaters what are we concerned about?
Retinal Detachment
Eye Pain, Redness, Sensitivity to bright lights, no discharge, what should I think about?
iritis/anterior uveitis
Eye discomfort that spreads to the other eye with morning crusting, watery discharge, and preauricular adenopathy is suggestive of what?
Viral Conjunctivitus
With regards to the eye:
Unilateral Redness, discharge, foreign body sensation, and light sensitivity, contacts, has not changed them recently, what is this disease?
Bacterial Corneal Ulcer, need emergent eye doctor evaluation
Severe Unilateral Eye pain, sectoral hyperemia, no trauma, is what?
Scleritis, patient should be evaluated for Rheumatoid Arthritis
No visual changes or photophobia
Episcleritis vs scleritis is what?
Scleritis has severe pain, episcleritis does not
Infection of the upper eye, acute onset of localized, painful swelling via an infected eyelash follicle, usually is what?
Hordeolum, style
Crusting is common
What is a Pterygium?
Irritation, foreign body
Ocular morning crusting and discharge, foreign body sensation, vision unaffected is what?
Blepharitis (inflammation of eyelids)
What is a non-infective blockage of the Meibomian gland orifice that causes the gland to rupture inside the tarsal plate?
The resultant foreign body reaction causes a rubbery, palpable nodule, it is rarely tender and does not cause lid or conjunctival erythema.
Chalazion
What is an accumulation of white blood cells that may be grossly visible in the inferior part of the anterior chamber?
Hypopyon
If a young female is engaged in unprotected sexual activities and has ocular concerns, what is the disease?
Adult Inclusion Conjunctivitis
Ptosis, Anhidrosis, and Miosis is seen when what nerve lesion is seen?
A lesion along the sympathetic Nerve chain, in the neck
Horner’s Syndrome
Vision changes that are concerning for a TIA, what medication should be given?
Aspirin
