HEENT Flashcards
What is the etiology of hyperacute bacterial conjunctivitis
Neisseria gonorrhoeae
What is the first line treatment for acute otitis media?
Amoxicillin 90mg/kg/day
What is the etiology of neonatal conjunctivitis ?
Chlamydia trachomatis
Is topical antibiotics therapy effective for neonatal conjunctivitis?
No, need oral erythromycin
What is the first line treatment for allergic rhinitis?
Intranasal steroids (Flonase)
Should we use OTC decongestants/antitussives in children under 6?
No
And you should suggest avoiding them in 6-12 yrs of age
What pathogen causes otitis externa?
Pseudomonas aeruginosa
What is the definitive treatment for dacryostenosis?
Surgical probe
How do you manage hyperacute bacterial conjunctivitis?
Hospitalization
Immediate optho consult
What condition:
Report of eye being “stuck shut”
Bacterial conjunctivitis
What is the treatment for parotitis
Supportive care
Tylenol and cold/warm packs
What is it:
Pale, boggy nasal mucosa and cobblestoning in posterior pharynx
Allergic rhinitis
What is it:
High fever for more than 5 days that is minimally responsive to antipyretics
Kawasaki disease
What is the treatment for bacterial acute sinusitis?
Augmentin 45mg/kg/day
What is Samters Triad?
Nasal polyps
Aspirin sensitivity
Asthma
What should you do if the rapid strep test is negative?
Culture
How do you manage otitis media with effusion?
Symptomatic care and observation
Keep an eye on their hearing
What is the most common etiology of viral URIs?
Rhino viruses
What bacteria causes bacterial pharyngitis?
Group A Strep
How do you manage allergic conjunctivitis?
Symptomatically.
Anthistamine eyedrops with mast-cell stabilizing properties (olopatadine/azelastine)
Vasoconstrictor drops
Topical NSAIDS
Topical steroids prescribed by optho only
What is it: Fever Sore throat Fatigue Tender cervical lymph nodes Splenomegaly
Mononucleosis
What is required for diagnosis of acute otitis media?
Bulging TM or other signs of acute inflammation
AND:
Middle ear effusion
