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Urgent Care Guide > Eye 2 > Flashcards

Eye 2 Flashcards

1
Q

chalazion (Ka lazi en)

A

blockage of meibomian (MY-bomian) gland leading to chronic noninfectious granulomatous inflammation of the eyelid

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2
Q

blockage of meibomian gland leading to chronic noninfectious granulomatous inflammation of the eyelid

A

chalazion

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3
Q

chalazion history and clinical presentation
3

A
  1. nontender firm lesion
  2. present weeks or longer
  3. occasionally evolves from hordeolum/stye
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4
Q

nontender, firm lesion on eye

A

chalazion

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5
Q

chalazion physical exam

A

comprehensive eye exam w/ special attention to everting the eyelid

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6
Q

chalazion imaging/testing

A

none usually

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7
Q

chalazion tx and disposition
3

A
  1. warm compress
  2. consider abx if extensive inflammation or susp. infectious etiology
  3. refer to ophth. for f/u in cases of obstructed vision or sx persist
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8
Q

hordeolum

A

aka stye - acute focal inflammation/infection of the eyelid gland (usually s. aureus)

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9
Q

aka stye - acute focal inflammation/infection of the eyelid gland (usually s. aureus)

A

hordeolum

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10
Q

hordeolum - history and clinical presentation (w/ three risks)
4

A
  1. tender nodule at lid margin
  2. may be erythematous and edematous
  3. tearing
  4. risks factors - contacts, contaminated makeup, diabetes
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11
Q

tender nodule at lid margin, tearing

A

hordeolum/stye

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12
Q

hordeolum physical exam - perform what

A

comprehensive eye exam w/ special attention to everting the eyelid

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13
Q

hordeolum imaging/testing

A

none usually

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14
Q

hordeolum/stye tx and disposition
3 (non pharm, pharm, fu)

A
  1. warm compress - most are self limiting and resolve in 1-2 weeks
  2. abx ointment if infection extends beyond eyelid
  3. ophth. if vision is obstructed
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15
Q

corneal abrasion

A

injury to the corneal epithelial surface

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16
Q

injury to the corneal epithelial surface

A

corneal abrasion

17
Q

corneal abrasion - history and clinical presentation
4

A
  1. typically caused by trauma or scratch
  2. foreign body sensation, sharp pain w/ blinking, tearing
  3. photophobia
  4. contact lens use
18
Q

foreign body sensation, sharp pain w/ blinking, photophobia

A

corneal abrasion

19
Q

corneal abrasion - physical exam
4

A
  1. visual acuity
  2. every eyelid
  3. fluorescein exam
  4. slit lamp exam if available
20
Q

corneal abrasion - healing takes how long

A

1-3 days

21
Q

corneal abrasion - prophylaxis tx

A

tetanus shot

22
Q

corneal abrasion tx - non contact wearers w duration

A

3-5 days
erythromycin 0.5% ointment, 1/2 in ribbon q6h

23
Q

corneal abrasion tx - contact lens user

A

5 days
ciprofloxacin 0.3% 2 gtt q6h

24
Q

traumatic iritis

A

inflammation of the anterior chamber after trauma

25
Q

inflammation of the anterior chamber after trauma

A

traumatic iritis

26
Q

traumatic iritis - hx and clinical presentation
4

A
  1. blunt ocular trauma
  2. pain starts 1-3 days after trauma
  3. photophobia, tearing
  4. decreased visual acuity
27
Q

blunt ocular trauma, pain, photophobia, tearing, decreased visual acuity

A

traumatic iritis

28
Q

traumatic iritis - physical exam
3

A
  1. comprehensive eye exam
  2. no pain relief from topical anesthetic
  3. perilimbal injection (ciliary flush)
29
Q

traumatic iritis - tx/disposition

A

consult opthal. if visual loss
topical cycloplegi

30
Q

acute angle closure glaucoma

A

obstruction of the outflow of aqueous humor from the anterior chamber resulting in increased intraocular pressure

31
Q

obstruction of the outflow of aqueous humor from the anterior chamber resulting in increased intraocular pressure

A

acute angle closure glaucoma

32
Q

acute angle closure glaucoma - hx and clinical presentation
5

A
  1. sudden onset of severe eye pain
  2. “halos” around lights
  3. blurred vision
  4. frontal HA
  5. N/V
33
Q

acute angle closure glaucoma - physical exam
4

A
  1. conjunctival injection
  2. fixed, mid-dilated pupil
  3. cloudy cornea
  4. hard globe on palpation
34
Q

acute angle closure glaucoma - tx

A

emergent, send to ER

35
Q

acute angle closure glaucoma - img/test

A

tonometry - intraocular pressure measurement > 21 mmhg

Urgent Care Guide (38 decks)

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