Rapid Tx: HEENT Flashcards
Ectropion/Entropion Tx
lubricating drops/moisture shields
Acute Dacryocystitis Tx
warm compress & Clindamycin, Vancomycin + Ceftriaxone
Chronic/Severe dacryocystitis Tx
dacryocystorhinostomy
Blepharitis Tx
eye hygiene, baby shampoo
Severe blepharitis tx
topical azithromycin, erythromycin, or bacitracin
Hordeolum tx
warm compress +/- I & D if no spontaneous drainage after 48 hours
conservative tx of chalazion
eye hygiene, warm compress
Refractory tx of chalazion
ophtho referral for GC injection or curettage
When to treat pterygium
remove if vision affected
Globe rupture Tx
Rigid Eye Shield, IV abx, 911 ophtho
orbital floor blowout fx tx
nasal decongestants
avoid blowing nose/sneezing
Ampicillin-sulbactam or clinda
retinoblastoma is associated with…
bone neoplasms/osteosarcoma
Mgmt of Dry Macular Degeneration
Zinc + Vit C and E to slow progression
Daily amsler grid
Mgmt of wet macular degeneration
intravitreal VEGF Inhibitors:
Bevacizumab
Proliferative diabetic retinopathy tx
VEGF Inhibitors: Bevacizumab
Mgmt of retinal detachment
911 ophtho
keep pt supine with head turned towards detachment
Chemical neonatal conjunctivitis tx
artificial tears
gonococcal neonatal conjunctivitis prophylaxis
topical 0.5% erythromycin ointment
gonococcal neonatal conjunctivitis tx
IM/IV ceftriaxone
chlamydia neonatal conjunctivitis tx
PO erythromycin
corneal abrasion abx for non-contact lens wearer
erythromycin ointment
corneal abrasion abx for contact lens wearers
+ pseudomonas coverage: topical cipro/ofloxacin
corneal abrasion mgmt < 5 mm
sterile irrigation + ophtho f/u in 24 hours
Rust ring removal
rotating burr w/in 24 hours
Tx for bacterial conjunctivitis in non-contact lens wearer
erythromycin ointment
tx for bacterial conjunctivitis in contact lens wearer
topical cipro or ofloxacin
Tx for viral conjunctivits
supportive tx
Tx for allergic conjunctivitis
Topical olopatadine (H1 blocker)
OR
pheniramine-naphazoline
+/- topical ketorolac
Ocular chemical burn mgmt
prompt LR or NS irrigation
topical polymyxin-trimethoprin/erythromycin/moxifloxacin
1st line mgmt of strabismus
occlusive patch for normal eye
Orbital cellulitis mgmt
admission + IV vanco & ceftriaxone or cefotaxime
preseptal cellulitis mgmt
PO clinda (MRSA coverage)
OR
TMP-SMZ + amoxicillin/augmentin/cefpodoxime
Mgmt of bacterial keratitis
topical FLQ (moxi, gati) after Cx
Tx for herpes keratitis
PO acyclovir
topical trifluridine, ganciclovir ointment
