HENT Flashcards
Soft contact lens user presents with severe eye pain, foreign body sensation, tearing, and photophobia. Look for a whitish lesion on the cornea by using a penlight and/or performing a slit lamp exam and fluorescein dye test.
corneal Ulcers
Corneal Ulcers are considered a
emergency
Acute onset of severe eye pain, photophobia, tearing, and blurred vision in one eye.
Herpes Keratitis
how is herpes keratitis dx
by using fluorescein dye
If infection is due to herpes simplex virus (due to self-inoculation “cold sore,” herpes whitlow), it is called h
herpes simplex keratitis
If infection is due to shingles of the trigeminal nerve (cranial nerve [CN] V) ophthalmic branch, it is called
herpes zoster opthalmicus
Herpes zoster ophthalmicus has eye findings accompanied
by an acute eruption of crusty rashes that follow the ophthalmic branch (CN V1) of the trigeminal nerve (one side of forehead, eyelids, and tip of nose). Refer to ED.
Sudden onset of floaters (or increase in floaters) associated with “looking through the curtain” sensation with sudden flashes of light (photopsia). Central vision may be intact or lost if macula is detached. Refer to ED.
Retinal Detachement
Direct blunt trauma to the ear that can cause bleeding in the auricular cartilage. The hematoma should be drained as soon as possible. If the hematoma is not drained, it can result in cauliflower ear. It is more common in wrestlers, boxers, and mixed martial arts fighters.
Acoustic Neuroma
Acoustic Neuroma
Asians
tumor of the acoustic nerve (CN VIII). If facial nerve (CN VII) involved, may have facial paresis and paresthesias. Refer to neurologist.
Caused by tumor of the acoustic nerve (CNVIII), facial nerve (CNVII)
Patient complains of hearing loss and intermittent ear discharge (otorrhea) from one ear that is purulent and foul smelling
cholesteamtoma
characterstics of Cholesteatoma
On examination, there is perforation of the tympanic membrane (TM) on the superior quadrant and a cauliflower-like or pearly-white mass
