3 Ear & Eye Flashcards
Cholesteatoma
Growth of squamous cell epithelium of middle ear
Otosclerosis
Abnormal bone remodeling of middle ear
Presbycusis
Age related hearing loss
Caloric testing
Cold water to external canal (will produce tonic eye deviation to side of cold water and horizontal nystagmus to opposite side)
Otalgia
Ear pain
Otorrhea
Ear discharge
Hyperopia
Far sightedness
Myopia
Near sightedness
Astigmatism
Refraction is unequal between eyes. May present as near or far sighted
Presbyopia
Slow loss of ability to see close or small print. Assoc with aging
Scotoma
Blind spot
Myodesopia
Perception of floaters
Hemanopsia
Blindness in half of visual field of one or both eyes
Acute allergic/vernal conjunctivitis
Bilateral swelling of conjunctiva and lids. Spring-summer
Chronic allergic conjunctivitis
Velvety projections on palpebral conjunctiva
Giant papillary conjunctivitis
allergy to soft contacts
Viral conjunctivitis
Assoc w adenovirus. 1-2 weeks
Could be HSV–> dendritic keratitis
Bacterial conjunctivitis
From staph or strep. Copious, thick purulent discharge.
From Neiserria or Chlamydia
Trachoma
Granular conjunctivitis from chlamydia throchoma
Pinguecula
Harmless, raided bumps of fatty deposits
Pterygium
Conjunctival thickening from wind, dust, occupational irritants
Blepharospasm
Spasm of lid
Corneal ulcer.
From HSV. Hutchinson sign
Band keratopathy
Calcified plaques over eye
Arcus senilis
Whitish deposits around limbus
UV keratitis
Cumulative damage to cornea. Snow blind.
Acute uveitis
Inflammation of uveal tract
Ankylosing spondylitis
Fusing of SI joint
Cataracts
Opacity of the lens with painless, progressive vision loss
Acute closed angle glaucoma
Emergency. Block of outflow channels in angle. Red eye.
Chronic open angle glaucoma
90% of cases.malfunction of eye’s drainage system. Assoc with aging
Preseptal cellulitis
Inflammation of eyelid/skin anterior to septum
Orbital cellulitis
Emergency. Infection of skin/muscles posterior to septum
Retinal detachment
Emergency. Painless dark floaters. Blurred vision.
Posterior Retinal Detachment
With age, vitreal gel collapses and pulls forward
Diabetic retinopathy
Venous dilation and small, red, well demarcated lesions–> macular edema
Hypertensive retinopathy
Vascular changes with htn
Retinitis pigmentosa
Inherited, slowly progressive, bilateral retinal degeneration
Blepharitis
Inflammation of lid margins–> itching, irritation, red eye
Hordeolum
Stye. Localized infection of eyelids involving sebaceous glands. Staph.
Chalazion.
Meibomian cyst.
Entropion
Lid inversion
Ectropion
Lid eversion.
Dacryoadenitis
Enlarged lacrimal gland on lateral aspect of eye
Dacryocystitis
Inflammation of lacrimal sac. Infants.
Dacryostenosis
Congenital narrowed lacrimal duct in neonates
Acute otitis externa
Itching, discharge, pain.
Chronic otitis externa
Follows seborrheic dermatitis, psoriasis, eczema, allergy, fungus
Perichondritis
Inflammation of ear cartilage
Ear tumors
Bcc, scc, sebaceous cysts, osteomas, gouty deposits
Acute otitis media
Strep, H flu, Moraxella. Throbbing pain, fever, tug on ear, irritable.
Otitis media with effusion
Chronic. Fluid in middle ear due to incomplete resolution of AOM
Chronic suppurative otitis media
Chronic inflammation, >6 weeks, TM peroration, otorrhea
Myringitis
Inflammation of TM. Secondary to uri
Mastoiditis
Suppurative inflammation of mastoid air cells. Complication of AOM
Tympanosclerosis
From chronic OM, t-tubes. Stiffening–> conductive hearing loss
Viral labrynthitis
Uri–> hearing loss, vertigo, nausea, vomiting. Unique form: herpes zoster oticus
Bacterial labrynthitis
Bacterial invasion/toxins in inner ear
Vestibular neuritis
Benign, temporary. Vertigo NOT assoc w hearing loss
Benign paroxysmal positional vertigo
Movement –> nystagmus. Due to canaliathis or cupulolithiasis
Acoustic neuroma
consider unilateral SNHL this
Tumor from Schwann cells of CN VIII
Meniere
TRIAD: SNHL, vertigo, tinnitus
Toxic vestibulopathy
Central disorder. From ingesting toxins
Tumarkin crises
Such vertigo that you collapse. Characteristic of meniere
Hyphema
Hemorrhage into ant chamber from trauma, fluid line