Peds ENT Flashcards
Conjunctivitis is?
Presentation?
Infection of the eye
Hyperemia, edema of the conjunctiva, discharge
Neonatal conjunctivitis: Common microbes?
GC/CL
H flu
S pneumo
What 3 sxs are NOT seen with conjunctivitis?
Pain, photophobia, decreased vision
Serous or watery discharge from eye indicates what?
Viral or allergic conjunctivitis
Mucopurulent discharge from eye indicates what?
Viral or chlamydial conjunctivitis
Purulent discharge from eye indicates what?
Bacterial conjunctivitis
Most common causes of Bacterial Conjunctivitis?
H flu
S pneumo
S areus
Most common causes of Viral Conjunctivitis?
Adenovirus
HSV
Coxsackie
Viral Conjunctivitis sxs?
Watery discharge
Injection
Rhinitis
Preauricular LAD
Allergic Conjunctivitis sxs?
Itching, tearing, redness, chemosis, eyelid edema.
U both eyes
Chemosis is?
Swelling of the conjunctiva
Strabismus is?
Eye misalignment
Esotropia is?
cross-eyes, convergent squint, inwardly turned eyes
Exotropia
walleyes, divergent squint, outwardly turned eyes
Primary test for strabismus?
Corneal light reflex
Amblyopia is?
Decreased central vision due to brain favoring one eye
Not correctible with glasses
Most C cause of decreased vision in kids
Dacryoadenitis is?
Most C cause?
Tx?
Inflammation of the lacrimal glands
Viral (self-limiting)
Warm compresses and massage
Reintoblastoma is?
Most C presenting sign?
Malignancy of retina
Leukocoria
Leukocoria is?
White pupil caused by retinoblastoma
Nystagmus U caused by?
PRIMARY:
- Congenital motor: occ motor abn, vision is fine
SECONDARY:
- Due to poor vision
- Initial sign of neuro dz
Acute Otitis Media is?
Most C bugs?
Middle ear fluid/inflammation
S pneumo
H flu
AOM dx?
1) Abrupt onset
2) TM bulge/dec mvmt or d/c (=effusion)
3) Erythema or pain
AOM tx?
Watch/wait if mild or uncertain and 2+yo
Amoxicillin
(Ok for tubes) Ofloxacin otic and Cipro/dexamethasone
Antihist does not help
AOM f/u?
Complications?
48 hrs
Hearing loss (neuro or conductive)
Language
TM perf
