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12 Cards in this Set
- Front
- Back
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Medical mgmt of a hyphema |
Elevate HOB 30 degrees Patch the eye Cycloplegic agent to immobilize the jris Avoid NSAIDs Consider steroids and glaucoma meds Treat pain and nausea (both can worsen the bleed) |
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Treatment of chemical burns to the eye |
Irrigation Ph strips to decide alkali or acid (alkali makes soaps, more dangerous but acid will self contain with coagulation) Debridement of foreign material |
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Medical mgmt of orbital # |
Iced compresses Elevate HOB x 24-48hrs Broad spectrum abx Surgical management if roof of orbit is involved or muscle entrapped Avoid blowing nose |
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What are pinguecula and pterygium? |
Flashy elevated masses on conjunctiva |
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Outside of the neonatal period, what are common bacterial causes of conjunctivitis? |
H influenza Pneumococcus S. Aureus |
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What is the typical cause of membranous conjunctivitis? What can mimic this? |
Diphtheria - membrane difficult to remove causing pain and bleeding Pseudomembranous conjunctivitis which occurs in many bacterial and viral causes. Membrane easily peels |
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What is the role of topical antibiotics in CNLDO? |
To manage mucopurulent discharge |
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What is immediate management of hyphema |
Raised HOB patching Cycloplegic agent Minimize pain and vomiting BUT avoid NSAIDs Ophtho to see TODAY if >50%, tomorrow if <50% |
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What do vertical nystagmus' indicate |
Brainstem or cerebellar lesions |
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Patient with unilateral red eye with mucopurulent discharge - how to treat? |
If bacterial, topical abx Viral px with watery discharge, but otherwise similar |
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Treatment of corneal abrasion |
Topical abx Cycloplegic agents can be used acutely for pain mgmt but can delay healing and so should only be used in ED |
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What is posterior embryotoxon |
Corneal abnormality that looks like a thin grey white line adjacent to the limbus |
