Ears, Eyes, Other Sensory Organs Flashcards

Question

How will the child present with otitis media

Answer 1

Agonising pain Pyrexia Sensation of water in ear with effusion

Answer 2

Mastoiditis Meningitis

Answer 3

Hardening of the lens in the eye

Answer 4

3 Accronym: NPC Media: effects nucleas of the eye (close up focus issues. Second sight: means when pts have a temporary improvement of sight to rn gets worse this is in nuclear cataract (This is slow and takes years to develop ) Posterior sub capsular cataracts: this is effects the capsule that holds the lens Associated with steroid use, Hx of eye trauma where they had to take dexamethasone eye drops increases risk of diabetes and extreme near sightedness. This develops very quickly within months Cortical: effect the outer rim of lens Significant issues with depth perceptions This is very slow so takes years to develop There are congenital cataracts associated with inter uterine infectional trauma during pregnancy and also genetic You’ll see it with pts who’ have: Myotite dystrophy neurofibromytosis type 2 Rubella inutero

Answer 5

Yes Pts presents with prieur equilar lymphoedema which are the lymph glands that are directly anterior to your ears. They are usually enlarged in conjunction with the eye on the same side If u palpate the

Answer 6

7-10 days and tell your patient they can either wash out the eye with sterile saline or prepare an eye bath with water but they’ll need to boil the water and allow to 🆒 If it doesn’t resolve a opthalmology referral via GP (we can PHONE GP for that referral for the patient) Bacterial can be treated topically by getting antibiotics like clorinfenical to smear around the eye, eye lids and works better than drops as it won’t come out with tears etc. they can be bought over counter Cyclic acid can be used where they are taking the enzymes if the bacteria outside so its at its optimum level so it’s less efficient at multiplying to give the immune system more time to deal with it. 🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩 Soft contact lens wearers which could lead to keratitis rather than it’ being bacterial Oral antihistamines can help Be aware of of potential STI or herpes virus involevemenr so if you go to a new born who presents with conjunctivitis so we can think they may have got this from the birthing canal or chicken pox patients / shingles that effects the top of their noses. This could be a sign that the optic nerve could be involved 🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩 Trip to pharmacy with worsening care instructions are needed not hospital

Answer 7

The macular is the most sensitive & a common condition that affects the middle part of your vision. People struggle to read as they are focusing there have degeneration on that part which focuses

Answer 8

Drusen is essentially little clusters of fatty lipids under the macular. Wet - because blood is involved.

Answer 9

6-20 Pts would need to hold two recessive genes 🧬 from parents to have this type