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33 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Itp |
Self limiting Admission and monitoring if severe thrombocytopenia Advice on contact sports Ivig + steroid (if severe thrombocytopenia & ICH) |
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Hemophilia |
1. Atralgia: Pcm + opiod 2. Dental hygiene 3. Immunisation : subcut 4. Hemophilia society |
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Hsp |
Abd pain: dexamethasone Hematuria: manage as nephropathy Jt pain: nsaid |
Triad: abd pain, atralgia, rash, hematuria |
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filariasis |
allbendazole |
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liver failure - hepatic encephalopathy - cerebral edema -liver failure - glucose n electrolyte imbalance -ascites bleeding |
liver failure- hepatic encephalopathy- cerebral edema-liver failure- glucose n electrolyte imbalance-ascites bleeding |
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pcm overdose |
n- acetyl/cysteine |
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opiod |
heroin, morphhine everything down naloxone |
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symphatomimetic |
amphetamine cocaine everything increase sedate w BZD |
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cholinergic |
organophosphate, insecticides SLUDGE antidote: atropine/ prali-doxine |
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anticolinegic |
atropine sedate w bzd |
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sedative |
eg bzd flumazenil |
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SJS/TEN HLA-B gene |
identify cause--> remove cause -assess severity: SJS/TEN? - tx in HDU - supportive: fluid (IV away from affected), pain, mouthwash for oral lesion, PPI for stress ulcer, skin lesions tx like burns mx definitive IVIG |
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refractory seizure |
CAH (carbonic anhydrase inh)acetazolamide |
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bacterial conjunctivitis |
chloramphenicol (static) floxacin (cidal) titik setiap 2 jam lid hygiene, dont share towel |
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keratocunjunctiva |
gentamicin, fucidic acid every 4hrs swab for C&S |
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opthalmia neonatarum ( first month) |
ask sexual hx, contact tracing, tx mother, vdrl titre eye swab gram stain, c&s if suspected chlamydia: conjunctival scrapping for indirecrt fluorescent AB gonorrhea: IV ceftriaxone, eye irrigation non gonoccocal: chloramphenicol/ gentamycin hsv: acyclovir |
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papillae vs follicle in eyelid |
papillae: PABILLAE (allergic and bacteria follicle: chlamydia & viral cause |
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allergic conjunctivitis -- chemosis (conjunctival swelling) - very itchy (gatal) |
ddx: viral conjunctivitis, scleritis, episcleritis, iritis mx: anti histamin (antazolin drop) mast cell stabilizer |
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scleritis ( painful, heavily red) episcleritis ( non painful, only blood vessel between the conjunctiva and sclera is infalmmed) |
NSAIDS ( but give severe one for scleritis) |
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AACG acute angle closure glaucoma -- optic nerve characteristic -- field loss -- causing increase IOP |
A: alpha agonist B: beta blocker ( UNLESS asthma n copd) C: CAH (acetazolamide) C: cholinergic (pilocarpine) iridotomy lie the patient flat to relieve IOP, and press using thumb to open up the angle |
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orbital cellulitis * swelling of the orbit causing compression of optic nerve * ddx: hemangioma |
lab: fbc, swab C&S, LP imaging: orbital us (detect abscess) mx: IV ceftriaxone surgical for abscess drainge daily opthalmo exam CT of orbit: any subperiosteal abscess cx: subperiosteal abscess, meingitis, encephalitis, raised IOP, exposure keratopathy |
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pre op AB for ortho |
cephazolin |
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preseptal cellulitis in child, can easily become orbital cellulitis because septum is not fully developed |
T. Augmentin 625mg TDS for 1 week |
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pterygium rf: uv light, dry eye, exposed to dust - fibrovascular structure of degenerative manner |
surgical removal |
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pingu-e-cula Fibrovascular structure of degenerative manner, not extending to cornea but only to eye limbus |
mx: artificial tears (since pt has dry eye) |
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chalazion - painless, nt inflammed, basically blocked oil gland |
warm compression incise & curette |
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styye: painful & inflammed |
warm compression lid hygiene topical chloramphenicol/ fusidic acid |
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microbial keratitis -no papillae/ follicle ( no conjunctivitis) |
quinolone cefuroxim+ gentamycin if more severe |
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corneal ulcer |
a. Admit patient b. Scraping – culture and sensitivity c. While waiting, give broad spectrum antibiotics d. Topical antifungals – Amphotericin e. Severe: cover with oral antibiotics |
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HSV corneal ulcer ( under fluorescein) |
acyclovir |
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eyeball hyphema |
bed rest dilate pupil (atropine) to splint |
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molluscum contagiosum cause |
poxvirus |
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SCC vs BCC |
SCC: irregular BCC : irregular, ulcer, rolled up edge |
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