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14 Cards in this Set

  • Front
  • Back

Pharyngitis

Sore throat, viral URI.



Transmission by droplets(cover mouth while coughing)



Throat culture- to differentiate between EBV and mono

Fetid Breath

Infected smell of pt breath found in dental abcesses.

Ludwigs Angina: description, Risks, s/s,

Usually extension of a pre-existing dental infx. Can be in submandibular, submental and sublingual tissues.



Risk for potential airway compromise and sepsis.



s/s: sick appearing,

Acute Otitis Externa (swimmers ear)

Inflammation of external auditory cannal, swelling drainiage and maceration may be present.



Assess TM, if not intact there may also be inner ear infx

Acute Otitis media

Disease of middle ear. Bacterial, common with URI, common with infants/children.



red/bulging TM possibly ruptured.

Ruptured TM

by infx or trauma.



cotton in ear to prevent more pathogens entering ear. most heal wo complication

Menieres Disease

inner ear-vestibular system disorder. Damage to hearing and balance structures.



Onset 40-60yo. May be episodic or recurrent.



s/s : vertigo, tinnitus, n/v, nystagmus.

Labrynthitis

Inflammatory response of middle ear.



s/s: vertigo esp with head and body movement.

Peri-tonsilar abcess

Infx extending beyond tonsillar tissue. Risk for ENT/airway emergency.



s/s: almost always one sided(strep is bilateral),uvula pushed to one side, "hot potato voice"



Epiglottitis

Infx and inflammation of epiglottis vallecula and surrounding tissues.



s/s :sick child, sudden onset<24hrs(croup is well child and >1day onset). decrease stimulation, blow by oxygen

Croup

Acute viral syndrome. Swelling of the vocal cords.



s/s: barking cough, NO drooling, "steeple" sign on xray



tx: humidified oxygen, possibly steroids

Glaucoma : acute angle closure glaucoma

Angle of junction between iris and cornea becomes narrowed/blocked.



Gradual incr in pressure and sudden dilation of pupil. If untreated blindness may occur in hours due to decreased retinal circulation.



s/s: IOP40-80mmHg(<20 is normal), decreased visual acuity, light halos, photophobia.



tx: opthamological consult, Iridotomy(definitive tx), meds to decrease pressure(pain, mannitol)

Central Retinal Artery Occlusion

sudden painless unilateral loss of vision. blockage of retinal artery by thrombus, embolus



s/s: can be preceeded by "tia like sx" temporary blindness or occlusion.



tx: to preserve vision it must be treated within 1-2hrs.

Retinal Detachment

Vision threatening emergency. Separation of retinal layers from choroid.



s/s: floaters, cloudy/smoky vision, veil "COMING DOWN", can be gradual or sudden



tx: surgery, shield both eyes to reduce chance of further detachment