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43 Cards in this Set
- Front
- Back
what are the ocular infections
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conjuctivitis
keratitis (corneal) endophthalmitis |
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what is Conjuctivitis
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inflammation of mucous membrane of the eye
pink eye |
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what form of infectious conjuctivitis is of major concern in children
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chlamydial, gonococcal
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what are some noninfectious causes of conjuctivitis
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contact lens use, allergic, dry eye, foreign body
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what are symptoms of conjuctivitis
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foreing body sensation
blurred vision photophobia and pain (when cornea is involved) |
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chemosis is indication of what eye disorder
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conjuctivitis
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what are some drugs that cause conjuctivitis
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neomycin
opthalmic decongestants (naphazoline, phenylephrine), isotretinoin |
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what form of conjuctivitis is usually preceeded by URI
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viral
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what is the main goal of treating viral conjuctivitis
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preventing transmission since it is self limiting
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what is the purpose of treatment in bacterial conjuctivitis
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reduce spread to others
reduce potential for chronic disease |
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what is used for systemic relief in bacterial conjuctivitis
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hot compress
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what can be given to treat conjuctivitis
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topical antibiotics
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what is keratitis
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inflammation/errosion of cornea
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which eye disorder would result in improper reflection of light
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keratitis
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which eye disorder would you see infiltrate or localized, white opacification of corneal stroma
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keratitis - clouding up of cornea
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what are predisposing factors for keratitis
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contact lens use
topical corticosteroids rheumatoid arthritis DM alcoholism |
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what is endophthalmitis
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infection/inflammation of eye ball
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which eye disorder would you see diminished red reflex
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endophthalmitis
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what are causes of endophthalmitis
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ocular surgery complication, penetrating ocular trauma, metastatic ocular involvement
bacterial > fungal, viral |
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what is a Hordeolum
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stye
inflammation of the sweat and sebaceous glands located at the eye lid margin |
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what presentation would you see with hordeolum
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swelling of lid, localized nodule/papule
DOESNT REQUIRE ANTIBIOTICS SELF LIMITING 3-4 DAYS |
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what is ectropion
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lid turns out
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what is blepharitis
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infection of lid
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what is entropion
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eyelids and lashes turn in
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what lid disorder can lead to dry eye
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ectropion - lid do not close completely
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what is dacryocystitis
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infection and inflammation of tear ducts/gland (lacrimal sac)
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how do you treat dacryocystitis
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warm compress
antibiotics |
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what must you watch for w/ dacryocystitis
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periorbital cellulitis
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what is glaucoma
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damamge/destruction of optic nerve related to pressure in eye
may have changes in optic disc and loss of visual sensitivity and field |
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what is open angle glaucoma
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chronic blockage of aqueous flow
slow loss of peripheral vision increased incidence with FH or aging uni or bilateral |
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at what age should you begin annual or biannual screening
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40
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what is acute angle closure glaucoma
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sudden block of aqueous outflow
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what are precipitating factors of acute angle closure glaucoma
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dim light
mydriatics stress |
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how does macular degeneration differ from glaucoma
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glaucoma = loss of peripheral vision
macular degeneration = loss of central vision |
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drugs that induce/potentiate open angle glaucoma
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corticosteroids
opthalmic anticholinergics |
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drugs that induce/potentiate closed angle glaucoma
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topical anticholinergics
sympathomimetics systemic anticholinergics antihistamines |
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what are some things that can result in sudden loss of vission
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migraine
acute angle closure glaucoma retinal detachment ischemic optic neuropathy (clot or inflammation) |
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what is AV nicking
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arteries are thinner and have brighter shine
veins compress and may disappear |
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what is retinal hemorrhages
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see bright red puffy cloud = burst artery
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what are the grades of the keith waggoner barkitt system
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grade 1 - arteriolar narrowing
grade 2 - AV CROSSING/NICKINGS grade 3 - hemorrhages and exudates grade 4 - papilledema |
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HOW CAN DM EFFECT THE EYE
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exudates
hemorrhages neovascularization - arteries springing out from spot, covering areas of rods/cones |
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what meds cause TOXIC OPTIC NEUROPATHIES
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ethambutol
isoniazid fluroquinolones |
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what meds cause toxic retinopathies
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tamoxifen
chloroquin hydroxychloroquin |