UW3 (16 Opthalmo) Flashcards
1
Q
Vision loss (differential)
- Sudden / Severe
- Pale fundus / Cherry red spot
- Progressive
- Blast & Thunder (Retinal hemorrhage, Optic disc edema)
- Floater, Photopsia / Light flash
- Vitreous hemorrhage / Retinal elevation
- Floater / Haze / Dark streak
- Red reflex ↓ / Hemorrhage
- (management ?)
- Fever / Eye pain / Visual field ↓
- Vitreous haze (Focal / Mound / Glisten / White)
- (management?)
A
- Central Retinal Artery Occlusion
- Central Retinal Vein Occlusion
- Retinal Detachment
- Vitreous Hemorrhage
- Bed rest + Head elevation
- Candida
- Vitrecetomy + Amphoteracin
2
Q
Orbital Cellulitis
Treatment?
A
1) Antibiotics
a. Ceftriaxone
b. Unasyn + Vancomycin
2) Surgery
3
Q
Age related vision loss (Common cause) 2
A
1) Cataract
2) Macular degeneration
4
Q
Irititis / Anterior Uveitis
Exam findings? 3
A
- Pupil = Constricted / Irregular
- Leukocyte ⊕
- Hazy flare
5
Q
Central Retinal Artery occlusion
- Risk?
- Labs? Why?
- Image study? Why?
- Treatment? 4
A
• Carotid atherosclerosis
- ESR / CRP (r/o temp arteritis)
- Carotid US / Echo (assess carotid stenosis)
1) Ocular massage
2) Anterior chamber paracentesis
3) Acetazolamide / Mannitol
4) Ophthalmology consult
6
Q
Conjunctivitis (treatment)
- Bacterial? 4
- Viral? 2
- Allergic? 3
A
- Erythromycin oint
- Polymycin + TMP drop
- Azithromycin drop
- FQ drop @ contact lens
- Anti-Histamine drop
- Decongestant drop
- Anti-Histamine drop
- Decongestant drop
- Mast cell stabilizer drop
7
Q
Age 2-5d
Eyelid swelling
Exudate
MucoPurulent discharge
1) Diagnosis?
2) Treatment?
3) Prevention?
A
1) Neonatal GC conjunctivitis
2) Treatment: Ceftriaxone / Cefotaxime IM x1
3) Prevention: Erythromycin eye drops
8
Q
Photophobia
Blurry vision
Foreign body sensation
Difficulty opening eyes
- Diagnosis?
- Complication? 2
- Tests?
- Treatment?
A
• Keratitis
- Corneal scar / ulcer
- Blindness
- Slit lamp: corneal ulceration
- Florescin test ⊕
- Obtain culture
- Empiric FQ
- Opthalmo referral
