Perrla and Blood shot eye Flashcards

1
Q

Acute Iritis:

A

painful, aching, bloodshot eye and small pupil

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2
Q

acute iritis/ anterior uveitis

A

a. intra- ocular inflammation: anterior chamber/ iris/ cil body
b. multiple etiologies have been reported

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3
Q

classic indications of anterior Uveitis

A

c. i. onset can be gradual
c. ii. bloodshot eye, a dull, deep seated ache in the eye, Photophobia, come decrease in visual acuity, tearing and small pupil that is poorly reactive to light
d. anterior uveitis is  true medical urgency

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4
Q

Acute glaucoma:

A

painful, blood shot and LARGE pupil

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5
Q

a. Intra ocular inflammation:

A

edema and or metaplasia of the iris and or cil body

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6
Q

Acute glaucoma diagnostic criteria include:

A

b. i. Ocular pain: CN V pain, often severe and of rapid onset
b. ii. Nausea/vomiting
b. iii. A nonreactive pupil that is in mid dialation

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7
Q

t/f Acute glaucoma = med urgency

A

true

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8
Q

Acute glaucoma: key ddx

A

conjunctivitis/pink eye

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9
Q

Conjunctivitis is not an intra ocular…

A

inflammation conjunctivitis does not cause changes in pupillary size or shape

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10
Q

normal Perrla and Pupillary reaction to light

A
  • direct and consensual responses to light

- note good vision: is not a prereq for procedure

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11
Q

normal variant Perrla and Pupillary

A

hippus

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12
Q

abnormal Perrla and Pupillary reaction to light

A

lack of response on one or both sides

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13
Q

miosis:

A

a. excessive constriction of pupil

b. can’t dilate in the dark

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14
Q

Mydriasis:

A

c. excessive dialation of pupil

d. Will not constrict in bright light

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15
Q

Normal-> accommodation triad consist of:

A

accommodative convergence, pupillary constriction and accommodation of lens for near vision…abnormal is opposite

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16
Q

cardinal fields of gaze: concerns

A

Look for alignment or misalignment
Second concern: issues with fixation
Third concern: issues with pursuit movements

17
Q

Possible findings during cardinal fields of gaze:

A

Normal variants on cardinal fields of gaze:
Hyper dominant eye
Physiologic end point nystagmus of brief duration
Abornal: undershoort or overshoot seen in cerebral disease or acute alcohol intoxication
Abnormal: jittery eye movements early indication of MS
Abnormal: lesions of vestibular/oculomotor/cerebral systems
Sponateous nystagmus with no apparent cause: newly acquired or con
Gaze evoked nystagmus: fixation or posit results very irr nystagmus
Tropias that occur during the pursit movement