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Pediatrics > ENT PowerPoint > Flashcards

ENT PowerPoint Flashcards

1
Q

visual acuity at newborn

A

20/100
20/400

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2
Q

binocularity age

A

2-4 months

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3
Q

when to test for color blindness

A

5 years
- white males

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4
Q

when to test for visual defects and why

A

7 years old since acuity is 20/20

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5
Q

why might newborn have difficulty with color differentiation

A

optic nerve is not myelinated

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6
Q

when will you have final eye color

A

6m

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7
Q

why are children more prone to eye injuries

A

eye is 3/4 size of adults, larger surface area

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8
Q

eye assessment Q’s for infants

A

does your baby follow objects
does your baby react when you are directly in front
do your babies eyes move asymmetrically

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9
Q

eye assessment Q’s for young children

A

does your child follow you with their eyes when they walk in the room
are other objects followed with ease
does your child have difficulty picking up objects
do both eyes work together

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10
Q

eye assessment Q’s for school age child

A

dies your child like to look at pictures and read
dose your child sit very close to the TV
does your child squint or rub eyes
any learning diffuculties

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11
Q

when can children cooperate with snellen chart

A

3-4

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12
Q

eye that deviates can develop into

A

lazy eye

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13
Q

how to fix stambious

A

surgical
or eye patch to strengthen weak eye

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14
Q

conjuntivitis

A

infection of the eye

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15
Q

conjunctivitis causes

A

bacterial
vital
allergic
foreign body

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16
Q

conjunctivitis newborn

A

chlamydia, gonorrhea, herpes simplex, erythromycin in eye

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17
Q

bacterial conjunct appererence

A

crusting of eyelids that keeps coming back
purulent drainage

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18
Q

bacterial conjuct cause

A

staph/strep

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19
Q

viral conjuct apperence

A

serous water drainage
occurs with URI

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20
Q

viral conjuct med

A

acyclovir

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21
Q

allergic conjuct apperence

A

itchy
stringy watery drainage
cobblestone apperence

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22
Q

foreign body conjuct apperence

A

usually one eye affected
pain

23
Q

conjuct precautions

A

contact

24
Q

when can kid go back to school after bacterial conjuct

A

~24
more likely 48 hours of TX

25
Q

what conjuct do we use oral antibiotics

A

foreign body

26
Q

bacterial conjuct medication

A

fluoroqunilones

27
Q

children difference of eustachian tube

A

shorter
wider
more horizontal

28
Q

pooling of eustachian tube leads to

A

otitis media

29
Q

auditory is fully developed at

A

5 months

30
Q

hearing impaired child

A

face child when speaking
read lips

31
Q

vision impaired child

A

explain procedures before touching

32
Q

otitis media affects where

A

middle ear

33
Q

treatment plan for otitis media

A

watch and wait 2-3 days

  • ear drum red, bulging, inflamed antibiotics now
  • ear drum pink and not inflamed, wait and see
  • no resolution or improvement in 3 day period, start antibiotics
34
Q

biggest indicator of otitis media

A

pain

35
Q

otitis externa location

A

distal of tympanic membrane

36
Q

otitis externa also called

A

swimmers ear

37
Q

treatment for otitis externa

A

antibiotic ear drops
maybe steroid ear drops

38
Q

s/s of otitis media

A

irritable
fever
decrease feeding because when you swallow the ears pop
poor sleep wake cycle
pulling ears
blood or pus on pillow

39
Q

what is a risk factor for otitis media

A

secondhand smoke

40
Q

why do we not prop bottles

A

pooling can cause otitis media

41
Q

frequent ear infections can lead to

A

hearing loss

42
Q

what age is child only nose breather

A

6 mo

43
Q

why are tonsils normally large in children

A

they are not functioning yet because lymphatic system isn’t developed yet

44
Q

why are strong mouth muscles necessary

A

sucking and speech development

45
Q

tonsilitis
- indication for tonsillectomy

A

7 epi/1 year
5 epi/2 years
3epi/ 3 years

46
Q

criteria for tonsilitis

A

sore throat
temp greater than 38.3
cervial adenopathy
tonsilar exudate
positive for GABHS

47
Q

treatment following tonsillectomy

A

cool fluids
Tylenol (NO MOTRIN)
ice collar
gargle with salt and baking soda

48
Q

how to assess for bleeding with tonsillectomy

A

frequent swallowing

49
Q

do we give red colored foods for post op tonsillectomy

A

NO
mimics bleeding

50
Q

when is highest risk for bleeding post op tonsils

A

24 hours
7-10 days due to scabs

51
Q

what medication is contraindicated in tonsillectomy

A

codine
- can lead to deep sleep

52
Q

do we ever suction tonsillectomy

A

NO

53
Q
A

Pediatrics (45 decks)

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