Peds Flashcards
Ddx buphthalmos
Congenital glauc
Sturge weber (check for port wine stain and choroidal hemangiomas)
Ched
Stumped for k cloudiness
Ddx cloudy cornea
Stumped Sclerocornea Trauma Ulcer Metabolic Peters Endothel dystrophy Dermoid
What do you need to look for on exam for congen glaucoma 3 things
- Myopic shift from axial elongation
- Apd
- K diameter >12mm
Ddx band k 7 things
- Jia
- So
- Chronic rd
- Hyperparathyroidism
- Vit d toxicity
- Hypercalcemia
- Inflammatory conditions such as gout or sarcoid
What can cause high calcium in blood?
Renal failure
Hyperparathyroid
Vit d toxicity
Ddx newborn w discharge
Bacterial conjunctiv
Chlamydial conjunct
Hsv
Chemical conjunctivitus
What stains for gonnorhea
Chocolate agar or thyer martin
What test do you need to check for chlamydia?
1) Enzyme linked immunoassay
2) Direct florescent ab test
How do you cover a baby for chlamydia and gonnorhea?
Gonnorrhea: Ceftriaxone 50mg/kg/day x 1wk Or iv pcn Chlamydia Eruthromycin 50mg/kg/day qid x 10-14 days
Ddx large et
Congen et
Accomodative et
Sensory et (rb or cat)
Duanes
whats the stereo in intermittant XT?
perfect 40 sec of stereo
when do you do surgery on an intermittant xt?
when they cant control it with convergence anymore
whats the natural history of intermittant xt>
develops in kids > 2 yo
manifests when tired, daydreaming, illness, sedatives
whats the preferred alignment after surgery for intermittant xt?
slightly et
whats the treatment options for X(T)
1) patching part time dominant eye
2) over minus glasses- force accomodate more
3) fusional convergence exercizes
when do you operate on x(t)?
1) try to wait till after 4 yo
2) if they are not fusing
what type of surgery for x(t)?
b/l LR recsss
or
r and r- but often leaves pts with residual incomitat xt
what distinguishes a phoria from a tropia?
ability to control it. if cant control it, it is a tropia
what type of surgery for sensory xt?
RR of amblyopic eye
why would a kid have a head turn?
1) nystagmus- search for null point
2) incomitant strabismus
v pattern is associated with over action of?
io
where do you move the LR in a v pattern?
MALE- move medials to apex of v and laterals opposite way
how do you treat v pattern?
1) male
or
2) io weakening
what do you do with xt a pattern?
LR recession w male. stay away from so surgery
how does convergence insufficiency present?
straight at distance and x at near -
rx w pencil pushups
Whats a normal ac/a ratio?
5 pd
Ddx kid w et 4 things
- Congen et
- Accomodative et
- Duanes
- Sensory et (cat, rb)
