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Common ENT cont.
19 cards·by tatiana05
Physical Exam for Conjunctivitis
Visual acuity, eye exam, assess discharge, regional lymphadenopathy, cultures
Management of Conjunctivitis
Fluorescein stain to r/o ulcer, keratitis, foreign body, irrigation
Treatment of Bacterial Conjunctivitis
Azithromycin, erythromycin, Polymyxin B
Treatment of Viral Conjunctivitis
Trifluride 1%
Symptoms of Uveitis
Periocular pain, photophobia, vision normal, conjunctival vessels are dilated at corneal
edge, irregular pupil shape, floater and hazy visio
Treatment of Uveitis
Noninfectious prednisolone acetate 1%, infectious antimicrobial drops, referral
Contributing factor of Retinal Detachment
Posterior Vitrious Detachment, trauma, ocular infection, over 50, cataract extraction &
use of fluoroquinolones, family history
Clinical presentation of Retinal Detachment
Increase in floater cobweb, central vision intact until macula affected, no pain or redness
Treatment of Retinal Detachment
Referral, head back
Etiology of Cataracts
Protein coagulations from opague areas in the crystalline lens, aging process,
DM,metabolic, usually bilateral
Risk factor for Cataracts
UVB, corticosteroid use, tobacco, ETOH, eye injury, DM
Clinical presentation of Cataracts
Gradual vision loss, bilateral, cloudy, foggy blurred vision, glare, distorted, color
perception altered
Physical Exam for Cataracts
Visual acuity near and far, pupillary reaction to light, visual fields, assess for
leukokoria
Etiology of Closed-Angle Glaucoma
Emergency-peripheral iris bows forward and occludes meshwork causing a dramatic rise in IOP
Etiology of Open-Angle Glaucoma
Progressive microscopic blockage of aqueous outflow in the trabeclar meshwork results in
increase in pressure and damage to optic nerve
Incidences of Closed-Angle Glaucoma
55-70, Female, far-sighted, small cornea, Asian ancestry, watching tv in dark room,
reading, fatigue
Clinical presentation of Closed-Angle Glaucoma
Extreme pain, blurred vision, halos, N/V, lacrimation
Physical Exam for Closed-Angle Glaucoma
Swelling extrenal eye, ptosis, tearing, corneal clarity, IOP w/ Shiotz tanometer(40-80)
Treatment of Closed-Angle Glaucoma
Referral, ocular emergency