HEENT Flashcards
what antibiotic do you never give to a mononucleosis patient?
no penicillins (rash) no amoxicillin
what is the treatment for mono?
cephalexin (Keflex)
1st line treatment for strep throat
penicillin
Azithro or Levaquin if allergic
What virus causes mono?
Epstein Barr
1st line treatment for otitis media?
amoxicillin
Augmentin or Bactrim if recent amoxicillin use
1st line for bacterial sinusitis
augmentin or doxy
bulging, opaque TM with ear pain and fever
otitis media
tx amoxicillin
augmentin if recent abx use
what is a cholesteatoma?
abnormal, noncancerous skin growth that can develop in the middle section of the ear, behind the eardrum with hearing loss
(purulent exudate with odor, cauliflower like mass)
vertigo + tinnitus + hearing loss
Meniere’s Disease
vertigo + severe nausea
no hearing loss
vestibular neuritis
Weber test with lateralization to the BAD ear is conductive or sensorineural loss?
conductive
Weber test with lateralization to the GOOD ear is conductive or sensorineural loss?
sensorineural (associated with disease process)
Which is normal?
AC>BC or AC
Normal is AC > BC
AC < BC is conductive hearing loss
What is Xanthelasma?
yellow deposits to eyelids, check lipid panel
match:
presbyopia near sighted
hyperopia age related
myopia far sighted
presbyopia - age related
hyperopia- far sighted
myopia- near sighted
curtain like shadow over visual field
retinal detachment
ER
What differs between a hordeolum and a chalazion?
hordeolum’s are PAINFUL
foreign body sensation in eye, keeps eye closed, severe eye pain
corneal abrasion
how to diagnose a corneal abrasion?
fluorescein staining
optic disc swelling without sharp margins is a sign of..?
papilledema and increased intraocular pressure due to chronic HTN
An IOP greater than ____ is a sign of glaucoma.
22
what bacteria causes strep throat?
group A streptococcus
what is medicamentosa?
rebound stuffy nose from Afrin use more than 3 days
tonometry
screening test for glaucoma
cones, rods, fovea
What is responsible for color?
cones
cones, rods, fovea
What is responsible for low light and night vision?
rods
cones, rods, fovea
What is responsible for sharp vision?
fovea
