Eyes

Question 1

Within 2 weeks of life: mild eyelid swelling, chemosis, watery/mucopurulent discharge

Treatment?

Answer 1

P.O. erythromycin
(Topical not effective)

Topical erythromycin given at birth is prophylaxis only for gonorrheal conjunctivitis

Question 2

Orbital cellulitis cause

Answer 2

bacterial sinusitis due to proximity of sinuses to orbital space

Question 3

dilated pupil that is poorly responsive to light

Answer 3

acute angle closure glaucoma

Question 4

ESR in temporal arteritis

Answer 4

> 50

Question 5

Inflammatory changes in medial canthus. Infants and adults >40yo

Answer 5

Dacryocystitis (infection of lacrimal sac)

Usually staph or strep. Can be purulent

Question 6

Staph abscess on eyelid

Answer 6

Hordeolum

Question 7

Chronic granulomatous inflammation of meibomian gland. Hard painless lid nodule

Answer 7

Chalazion

Question 8

Intraorbital edema and darkening
Transverse nasal crease
Pale, blue, enlarged turbinates
Pharyngeal cobblestoning
Hgih-arched palate, open-mouth breathing

Answer 8

allergic rhinitis

Question 9

Continued ear discharge even after antibiotic tx

Otoscopy reveals intact TM with peripheral granulation and some skin debris

Answer 9

Cholesteatoma

Question 10

contact lens-associated keratitis

Answer 10

pseudomonas and serratia

Question 11

brief episodes of vertigo caused by head movement

Answer 11

BPPV
(Dix-hallpike manuever -> nygstagmus)
Epley can fix it

semicircular canal dysfunction

Question 12

acute single episode of vertigo that can last days

often follows viral syndrome

Answer 12

vestibular neuritis

abnormal head-thrust test