Signs & Symptoms - Ambulatory Medicine

Front 1

Signs of Open Angle Glaucoma

Back 1

African American,
loss of peripheral vision, high IOP,
abnormal cup-disk ration(>50%)

Front 2

Treatment for Open Angle Glaucoma

Back 2

1. Beta Blockers (timolol, levobunolol)
2. Adrenergic Agonists (epinephrine)
3. Cholinergic Agonists (pilocarpine, carbachol)
4. Carbonic Anhydrase Inhibitors (dorzolamide, brinzolamide)

Front 3

Signs of Closed Angle Glaucoma

Back 3

Asian descent
eye pain, HA, nausea, conjuctival injection, halos around light, fixed & dilated pupils

Front 4

Treatment of Closed < Glaucoma

Back 4

AN EMERGENCY- CONTACT OPHTHAL!
then, Topical Pilocarpine + timolol + acetazolamide.

laser iridotomy

Front 5

Signs of Allergic Rhinitis

Back 5

congestion, rhinrrhea, sneezing, eye irritation, and post nasal drip.
O/E - pale, edematous mucosa

Front 6

Signs of posterior epistaxis

Back 6

more brisk, less common, blood may be swallowed and not seen.

Front 7

Signs of anterior epistaxis

Back 7

less severe, blood visible in the nares

Front 8

Treatment of epistaxis

Back 8

direct pressure & topical nasal vasoconstrictors(phenylephrine or oxymetazoline).
Next, cauterize with silver nitrate or insert nasal packing
If still bleeding -ENT consult

Front 9

Signs of Leukoplakia

Back 9

smokeless tobacco users, white patches or plaques in oral mucosa - not easily removed,

Front 10

Signs of Atopic Dermatitis
(Eczema)

Back 10

severe pruritis with dry, leathery,lichenified skin
distribution:face,neck,UpExtr,
antecubital and popliteal fossa
worsens in winter and low humidity environments
early age onset, chronic course

Front 11

Signs of Acute Contact Dermatitis

Back 11

itching, burning, intensely pruritic rash.
O/E vesicles, weeping erosions w/ crusting and excoriations
pattern reflects exposure

Front 12

Signs of Chronic Contact Dermatitis

Back 12

Hx same as Acute
O/E hyperkeratosis and lichenification

Front 13

Signs of Psilsoriasis

Back 13

well-demarcated silvery, scaly plaques on knees, elbows, and scalp.
Nail- pitting and onycholysis

Front 14

Signs of Erythema Nodosum

Back 14

*painful lesions preceded by fever, malaise, and arthralgia
*recent URI or diarrheal ilnes
*O/E - deep-seated, poorly ddemarcated,painful, red nodules without ulceration on the extensor surfaces of the lower legs.

Front 15

Signs of Rosacea

Back 15

erythema with inflammatory papules that mimic acne on cheeks,forehead, nose, and chin.
recurrent flushing elicited by spicy foods, alcohol or emotional reactions.
Late presentation-Rhinophyma

Front 16

Signs of Erythema Multiforme

Back 16

*preceded by malaise, fever, or itching and burning at the site where eruptions will occur.
*sudden onset,rapidly progressive, symmetrical lesions.
target lesions and papules *located on back of hands and palms, soles, and limbs.
*Lesions recur in crops for 2-3 weeks

Front 17

Signs of Pemphigus Vulgaris

Back 17

*flaccid bullae with erosions.
*oral lesions precede skin lesions.
*If untreated, affects esophagus.
Nikolsky's sign +ve

Front 18

Signs of Bullous Pemphius

Back 18

subepidermal bullae
more common than P. Vulgaris
large,tense bullae
age>60yrs

Front 19

Signs of Acne Vulgaris

Back 19

closed comedones(whiteheads), open comedones (blackheads), papules, nodules and scars.
location:face,back, chest

Front 20

Signs of Herpes Zoster

Back 20

Cutaneous painful vesicles evolving into crusted lesions in a dermatomal distribution.
Lesions preceded by paresthesias in the area of distribution.