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EM Ophtha
Emergency Medicine Ophthalmology
20
Medical
Post-Graduate
01/21/2009

Additional Medical Flashcards

 


 

Cards

Term
Def of acute closed angle glaucoma
Definition
EMERGENCY!!!
Congenital narrowing of anterior chamber, not allowing aqueous humor to exit -> incr, IOP
Precipitated by mydriatic or sudden darkness (theatre)
Fem > males
Term
Si/Sx of acute closed angle glaucoma
Definition
Sx: N/V, abd pain, blurred vision, HA, eye, pain, halo around lights
Si: decr. VA, shallow ant chamber, IOP > 50 mmHg, red, congested looking eye w/ fixed mid-dilated pupil, hazy cornea, perilimbal ciliary injection
Term
Tx Central Retinal Artery occlusion
Definition
-Digital globe massage
-95% O2, 3Lpm x 10 min
-Acetazolamide 500 g IV or PO
Term
MCC corneal ulcer
Definition
EMERGENCY!
Pseudomona 2ry to contact lenses may lead to destruction or perforation
Whitish corneal infiltrate /hypopyon white exudate in ant chamber
Term
DDX painless unilateral vision loss
Definition
1. Central retinal artery occlusion
- mid-age
-pale retina w/cherry-red fovea
2. Central retina vein occlusion
-mid-age
-blood streaked retina
3. Retinal detachment
-curtain closing presentation
4. Mult Sclerosis - start prednisone
Term
Bacterial conjunctivitis
Definition
Usually unilateral
-Staph: white ulcers at limbus
-N.Gono: virulent, can perforate cornea
-Chlamydia: leading cause of preventable blindness, obligae intracell org
Term
Tx for N.Gono conjuctivitis
Definition
Parenteral PNC or ceftriaxone
Term
Rx for chlamydial conjunctivitis
Definition
Parenteral & topical erythromycin
Term
Definition dacrocystitis
Definition
Acute inflamm of lacrimal sac, with tearin expulsion of pus & erythema
Term
Rx dacrocystitis
Definition
Broad spectrum abx PO
Term
Rx herpes keratitis
Definition
-Topical antiiral
-Mydriatic
-NO STEROIDS!
Term
Central retinal artery occlusion presentation
Definition
Painless, sudden, unilateral visual loss
Phys exam: dilated pupil, nonreactive, pale retina w/cherry red spot in fovea
Term
MC pahtogen in conjunctivitis
Definition
Viral - adenovirus
Term
Corneal laceration
Definition
Teardrop shaped pupil & flattening of anterior chamber
Term
Definition: Hordeolum
Definition
Aute purulent infxn (staph) of hair follicle/eye lashes. Self limiting 5-7 days

[image]
Term
Tx hordeolum
Definition
Warm compresses
Term
How you distinguish hordeolum vs. chelazion
Definition
Chelazion is not red, not tender. Hordeolum is.
Term
Definition: Chalazion
Definition
•Focal inflammatory lesion of the eyelid due to obstruction of a sebaceous gland •Chronoic granulomatous infection of meibomian gland superficial) or Zeis sebaceous gland (deep) •Often results from poor healing of an internal hordeolum

[image]
Term
Eye pain w/tip of the nose crusting lesions
Definition
Herpes Zoster conjunctivitis
Term
What is Dx? What can cause it?
[image]
Definition
COTTON WOOLS: •HTN retinopathy (infarct) •Central Vein occlusion •Collagen vascular d/o •Diabetics
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