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Emergency Medicine EOR > EM - EENT > Flashcards

EM - EENT Flashcards

1
Q
A
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2
Q

treatment of acute laryngitis

A

-viral: supportive
-bacterial: PCN or amoxicillin
-singers can be give steroids

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3
Q

etiology of otitis media

A

-viral that turns bacterial
-strep pneumo, mcat, hflu

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4
Q

s/s of otitis media

A

-ear pain
-bulging TM
-red RM

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5
Q

diagnosis of otitis media

A

clinical

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6
Q

treatment of otitis media

A

-amoxicillin

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7
Q

s/s of viral pharyngitis

A

-ulcers/blisters
-erythema
-swollen tonsils
-sore throat
-URI sx

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8
Q

diagnosis of viral pharyngitis

A

-do rapid strep first
-monospot

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9
Q

treatment of viral pharyngitis

A

supportive

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10
Q

s/s of strep throat

A

-sore throat
-odynophagia
-malaise
-tonsillar exudate
-sandpaper rash
-palatal petechiae
-strawberry tongue

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11
Q

diagnosis of strep throat

A

rapid strep

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12
Q

treatment of strep throat

A

PCN/ amoxicillin

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13
Q

MC sinus infection in acute sinusitis

A

maxillary

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14
Q

etiology of acute sinusitis

A

-viral URI precursor

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15
Q

s/s of acute sinusitis

A

-congestion
-purulent nasal discharge
-tooth pain
-face pain/pressure
-headache

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16
Q

diagnostic criteria of acute sinusitis

A

-s/s lasting 10 days without improving
-severe s/s for 3-4 days
-s/s improve and then worsen after 5-6 days

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17
Q

diagnosis of acute sinusitis

A

clinical
-CT is preferred but not utilized often

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18
Q

treatment of acute sinusitis

A

augmentin

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19
Q

etiology of allergic rhinitis

A

IgE reaction to allergens

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20
Q

s/s of allergic rhinitis

A

-URI
-shiners
-salute sign
-dennie morgan eyes
-boggy mucosa

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21
Q

diagnosis of allergic rhinitis

A

clinical

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22
Q

treatment of allergic rhinitis

A

-antihistamines
-intranasal steroids

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23
Q

etiology of barotrauma

A

-air travel
-underwater diving

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24
Q

treatment of barotrauma

A

-oral decongestants
-myringotomy

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25
anterior vs posterior blepharitis
-anterior: eyelid skin, eyelashes, associated glands -posterior: meiobian gland
26
s/s of blepharitis
-red rimmed -scales in eyelashed -inflamed meiobian glands
27
treatment of blepharitis
-anterior: anti-staph ointment -posterior: gland expression
28
mc broken bone with blow out fracture
maxillary
29
diagnosis of blow out fracture
CT
30
treatment of blow out fracture
-pain control
31
s/s of corneal abrasion
-significant discomfort -ciliary flush -tearing -foreign body sensation -photophobia
32
diagnosis of corneal abrasion
Fluorescein stain
33
Corneal Ab. Tx
topical antibiotic ointment (Erythro) CI: Topical Anesth
34
etiology of dacryoadenitis
-autoimmune -viral
35
s/s of dacryoadenitis
upper eyelid swelling (lacrimal gland)
36
treatment of dacryoadenitis
-if bacterial: augmentin and i&d -viral: supportive
37
s/s of dental abscess
-tooth pain -gingival edema and redness -discharge -fluctuant mass
38
treatment of dental abscess
PCN VK + flagyl
39
MC location of epistaxis
Anterior, Kiesselbach's plexus
40
management of anterior epistaxis
-apply pressure -topical vasoconstrictor -silver nitrate -packing
41
management of posterior epistaxis
packing
42
etiology of acute angle glaucoma
angle between cornea and iris is decreased
43
s/s of acute angle glaucoma
-vision loss -halos around the eyes -HA -severe eye pain -n/v -red steamy cornea
44
diagnosis of acute angle glaucoma
gonioscopy -urgent ophthalmology referral
45
treatment of acute angle glaucoma
-acetazolmide + pilocarpine -laser iridotomy
46
etiology of hyphema
blunt trauma
47
s/s of hyphema
-hemorrhage -pain -photophobia -blurred vision
48
management of hyphema
-supine with head elevated -hard eye shield -no NSAIDs or ASA
49
s/s of macular degeneration
-loss of central vision -new vessels on fundoscopic
50
treatment of macular degeneration
VEGF inhibitors
51
etiology of mastoiditis
untreated bacterial otitis media
52
s/s of mastoiditis
-posterior ear swelling and erythema -proptosis -fever
53
diagnosis of mastoiditis
CT
54
treatment of mastoiditis
-rocephin followed by oral augmentin
55
etiology of optic neuritis
MS
56
s/s of optic neuritis
-pain behind eye -loss of color vision -RAPD -papillitis
57
treatment of optic neuritis
IV steroids
58
etiology of orbital cellulitis
extension of acute sinusitis
59
s/s of orbital cellulitis
-ptosis -fever -swelling -limitation of EOM -pain
60
treatment of orbital cellulitis
-IV vanc + rocephin -then switch to bactrim (?)
61
s/s of preseptal cellulitis
-swelling -erythema -no proptosis -no vision impairment -no limitation of EOM
62
SX of Periorbital cellulitis
-swelling -erythema -no proptosis -no vision impairment -no limitation of EOM
63
Treatment of preseptal cellulitis
Same as Orbital Cellulitis (?)
64
MCC of otitis externa
Pseudomonas
65
s/s of otitis externa
-itching -pain with palpation of tragus -swelling -erythema
66
treatment of otitis externa
-ciprodex or *Ofloxacin*
67
s/s of peritonsillar abscess
-sore throat -fever -muffled voice -drooling -odynophagia -deviated uvula -fluctuant tonsil
68
diagnosis of peritonsillar abscess
CT scan
69
treatment of peritonsillar abscess
-i&d -IV abx then switch to oral
70
risk factors of retinal detachment
-nearsightedness -cataract extraction
71
s/s of retinal detachment
-monocular vision loss -curtain or veil -floaters -flashing lights -eye pain
72
treatment of retinal detachment
surgery
73
s/s of retinal vein occlusion
-sudden, acute, painless, monocular vision loss -first upon awakening -blood and thunder fundus
74
treatment of retinal vein occlusion
-anti-VEGF
75
s/s of auricle hematoma
-cauliflower ear
76
treatment of auricle hematoma
-drain -compressive dressing
77
treatment of auricular laceration
-auricle block -suture -compression dressing

Emergency Medicine EOR (12 decks)

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