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MJ- Family Med EOR > ENT treatments > Flashcards

ENT treatments Flashcards

1
Q

Bacterial conjunctivitis tx

A
  1. Gentamicin/tobramycin (tobrex)
  2. Erythromycin ointment (chlamydia for newborns)
  3. Trimethoprim and polymyxin B (polytrim)
  4. Ciprofloxacin
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2
Q

Tx for bacterial conjunctivitis with contact lens

A

Ciprofloxacin/ciloxan drops

(covering for pseudomonas)

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3
Q

tx for neisseria conjunctivitis

A

prompt referral

topical + systemic abx

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4
Q

chlamydial conjunctivitis

A

systemic tetracycline or erythromycin x3wks

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5
Q

tx for allergic conjunctivitis

A
  • Epinastine
  • azelastine (Optivar)
  • emedastine difumarate
  • levocabastine
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6
Q

tx for blepharitis

A

warm compresses, irrigation, lid massage, topical abx for flare-ups

daily lid wash w/ baby shampoo

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7
Q

tx for dacryocystitis

A

clindamycin + 3rd gen cephalosporin

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8
Q

Optic neuritis treatment

A

IV corticosteroids

refer to neuro for eval of MS

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9
Q

3 tx for WET macular degeneration

A
  1. VEGF inhibitors (e.g. bevacizumab)
  2. photodynamic therapy
  3. Zinc and antioxidant vitamins
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10
Q

Tx for DRY macular degeneration

A

zinc and antioxidant vitamin

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11
Q

what is seen on fundoscopic exam in retinal detachment

A

asymmetric red reflex

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12
Q

Tx for OE if perforated or chance of perforation

A
  • Ciprofloxacin and dexamethasone or Ofloxacin
  • Cortisporin
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13
Q

Tx for retinopathy (4)

A
  • retinal laser photocoagulation
  • intravitreal injection of antivascular enothelial growth factor drugs (eg, ranibizumab, bevacizumab)
  • intraocular corticosteroids
  • vitrectomy
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14
Q

Tx for hyphema

A

abx eye ointment

NO patching

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15
Q

Tx for retinal vascular occlusion

A

Optho emergency

  • Topical timolol
  • Acetazolamide
  • intermittent digital massage over closed eyelid
  • Anterior chamber paracentesis
    *
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16
Q

How do you tx Amaurosis fugax if pt presents within an hour of the occlusion

A

surgical decompression

  • digital massage of the globe
  • CO2 rebreathing
17
Q

How do you tx acute narrow angle-closure glaucoma

A
  1. Acetazolamide= 1st line
  2. Timolol (reduce IOP w/o affecting visual acuity)
  3. Miotics/cholinergics- Pilocarpine, Carbachol
  4. Peripheral iridotomy is the definitive treatment
18
Q

tx for chronic open-angle glaucoma

A
  • 1st line= prostaglandin analogs (latanoprost)
  • Timolol
19
Q

tx for viral conjunctivitis

what is the MCC

A

MCC adenovirus

Tx w/ cool compresses, artificial tears, antihistamines (olopatadine)

20
Q

tx for allergic conjunctivitis

A

antihistamin H1 blockers

  • Olopatadine
  • Pheniramine/Naphazoline
21
Q

Tx for fungal OE (3)

A

2% acetic acid

clotrimazole

itraconazole

22
Q

Tx for Labyrinthitis

A

Diazepam or Meclizine for vertigo

Promethazine for nausea

23
Q

tx for cholesteatoma

A

surgical removal

MJ- Family Med EOR (17 decks)

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