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23 Cards in this Set
- Front
- Back
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Treatment for Chemical-acid or alkali
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irrigate first, ask questions later
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Nonreactive pupils. Other than death, what is a good reason?
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possible iris sphincter tear
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Possible cause of pupil irregularity
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possible perforation
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Depth of injury is greater with base or acid?
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Base.
Acid more coagulative. |
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What's better to have with hx of chemical injury--- Red eyes or white eyes?
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red eyes
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Tx for corneal abrasion
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Antibiotic
Topical NSAID, cycloplegic Bandage contact lens Beware of patient taking topical anesthetic |
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Tx for conjuctival laceration
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Inspect carefully
Ususally do not need repair |
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with superior corneal abrasions, don't forget to look where?
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under lid for FB
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Treatment for Hyphema
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Shield
Bed rest No ASA/NSAID Topical corticosteroids Cycloplegic Watch IOP |
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Concussion of the retina that may produce a milky oedema in the posterior pole that clears up after a few days
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Commotio retinae
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Exam of traumatic optic neuropathy
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Nerve may appear normal
+ RAPD Poss. role of high dose steroids |
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Where do globes rupture
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old surgical incisions (post-cataract or post-corneal transplant) or near the insertion of the rectus muscles where the sclera is the thinnest
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Tx for Irregular, tear drop pupil with iris plugging wound
Deeper anterior chamber Low IOP |
No manipulation
shield over eye NPO Refer |
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MC part of orbit broken in blowout fracture
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floor
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An 85 year old woman complains of sudden loss of vision in her right eye. Review of systems is notable for right sided headaches, tenderness of the scalp when she brushes her hair, and 10 lbs. weight loss. Her ocular examination reveals a visual acuity of 20/400 in the right eye with a relative afferent papillary defect in the right eye.
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Diagnosis?
-Giant Cell Arteritis Work-up? -ESR, CRP, CBC Treatment? -Corticosteroids -Temporal artery biopsy |
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55 year old man complains of sudden, painless decrease in vision in lower half of his visual field of his left eye.
Va 20/25 Pupils No RAPD CVF Diminished in inferior visual field DDx? BRAO, BRVO, Retinal detachment, AION |
Diagnosis?
BRAO Work-up? Work up for TIA/stroke Treatment? none |
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25 year old woman complains of decreasing vision in the right eye over several days. Associated with pain on eye movements.
VA 20/50 + RAPD Color vision testing? |
Diagnosis?
Optic neuritis Work-up? MRI for other demyelinating lesions Treatment? Poss. IV steroids followed by PO steroids |
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32 year old man hit in right eye with a tennis ball.
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Diagnosis?
Hyphema Work-up? Sickle cell prep Treatment? Bed rest, cycloplegia, topical corticosteroids, close follow-up |
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34 year old woman poked in right eye by her child.
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Diganosis
Corneal abrasion Ancillary test? Fluorescein staining |
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26 year old construction worker complains of foreign body sensation after being hit in right eye with unknown object
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Diagnosis?
Corneal perforation Work-up? Need to rule out intraocular foreign body Treatment? Shield eye Refer for surgical repair |
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72 year old man complains of slowly progressive visual loss OU
VA 20/50 OU Red reflex: clear |
Diagnosis?
AMD Follow-up? Home Amsler grid monitoring |
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64 year old man complains of more difficulty driving at night.
VA 20/40 OD, 20/70 OS No RAPD |
Diagnosis?
Posterior subcapsular cataract Treatment? Surgery |
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59 year old woman complains 3 day history of floaters. She also notes seeing “flashing lights” in the evening.
Additional questions? DDx? Posterior vitreous detachment, vitreous hemorrhage, inflammatory retinopathies |
Diagnosis?
Posterior vitreous detachment |
