HEENT Flashcards
acute onset of severe eye pain, photophobia, tearing, and blurred vision in one eye
herpes keratitis
diagnosed by using fluoroscein dye, a black lamp in a darkened room us used to search for fern-like lines in the corneal surface
herpes keratitis
How do corneal abrasions appear under fluoroscein dye/light?
round or irregularly shaped
If infection is due to herpes simplex virus (self-inoculation, cold sore, herpes whitlow) it is referred to as what?
herpes simplex keratitis
If infection is due to shingles of the trigeminal nerve (CN V)it is called what?
herpes zoster ophthalmicus
which herpes has eye findings accompanied by the acute eruption of crusty rashes that follow the ophthalmic branch of the trigeminal nerve?
herpes zoster ophthalmicus
Elderly patient with acute onset of severe ye pain accompanied by headache, nausea, vomiting, halos around lights, and decreased vision- Exam reveals a mid-dilated pupil that is oval shaped, cornea appears cloudy, fundoscopic exam reveals cupping of the optic nerve - which condition?
acute angle-closure glaucoma
young adult with new or intermittent loss of vision in one eye alone or accompanied by nystagmus or other abnormal eye movements. May be accompanied by other neurological symptoms (aphasia, paresthesia, abnormal gait, spasticity, etc._ complains of daily fatigue on awakening that worsens as the dat goes on, heat exacerbates and worsens symptoms (heat sensitivity)l, has recurrent episodes. Refer to Neurologist
multiple sclerosis (optic neuritis)
acute onset of erythematous swollen eyelid with proptosis (bulging of the eyeball) and eye pain on affected eye. Unable to perform full ROM of the eyes with pain on eye movement. Look for hx recent URI or rhinosinusitis.
orbital cellulitis
caused by acute bacterial infection of the orbital contents (fat and ocular muscles), more common in young children than adults. Refer to ED
orbital cellulitis
“Cauliflower like” growth accompanied by foul-smelling ear discharge. Hearing loss of affected ear. On exam, no TM or ossicles are visible because of destruction by the tumor. hx chronic otitis media infections. The mass is non cancerous but can erode into the bones of the face and damage the facial nerve (CN VII)
cholesteatoma
what is the treatment for cholesteastoma
antibiotics and surgical debridement, refer to otolaryngologist
“Raccoon eyes” and bruising behind the ear
battle sign
search for a clear golden serous discharge from the ear or nose, rule out basilar and or temporal bone skull fx
Battle sign
what does clear golden fluid discharge from the nose/ear indicate
basilar skull fracture
