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6 Cards in this Set

  • Front
  • Back

Conjunctivitis

Bacteria: purulent


Gonococcal: copious purulent


Viral: watery


Allergy: stringy and increase tearing


Chemical: no discharge, pos. pruritis

Cataracs in children

Sx: white reflex


Tx: may resolve in infant. May require surgery if interfer with vision

Strabismus

If occur after 6 mon. Due to underlying problem.


Refer if problem is not resolved after 6mo. of age or child have hypo/hypertropia or underlying problem


- esotropia: inward deviation


- extropia: outward deviation


- hypertropia: upward deviation


- hypotropia: downward deviation


Dx: unequal Hirschberg papillary light reflex

Epiglotitis

Majority caused by H. Flu. Other causes are strep and staph.


Sx: sudden onset of fever, drooling, dysphagia, restless and fearful state, respiratory distress. Prefer to sit and hyperextending the neck d/t obstructed airway


Lab: thumb sign


Tx: hospitalizaton. IV cephlsporin should started while waiting for result.

Croup

Caused by parainfluenza virus. Peak at 3 mo. to 6 yrs of age. In the winter and fall


Sx: barking cough, stridor, dyspnea, late sign is cyanosis


Dx: steeple sign in xray


Tx: severe case need hospitalizaton. Corticosteroid or epinephrine to reduce the inflammation

Sinusitis

Pressure over the cheek, headache, halitosis. Purulent postnasal drip, cough, worse at night.


Dx: symptoms last longer than 7-10days. May need CT


Tx: amoxicillin.


Decongestion/antihistamines are not helpful in acute but does help in chronic sinusitis.


Refer for recurrent sinusitis