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Rapid DDx > Rapid Tx: HEENT > Flashcards

Rapid Tx: HEENT Flashcards

1
Q

Ectropion/Entropion Tx

A

lubricating drops/moisture shields

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2
Q

Acute Dacryocystitis Tx

A

warm compress & Clindamycin, Vancomycin + Ceftriaxone

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3
Q

Chronic/Severe dacryocystitis Tx

A

dacryocystorhinostomy

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4
Q

Blepharitis Tx

A

eye hygiene, baby shampoo

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5
Q

Severe blepharitis tx

A

topical azithromycin, erythromycin, or bacitracin

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6
Q

Hordeolum tx

A

warm compress +/- I & D if no spontaneous drainage after 48 hours

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7
Q

conservative tx of chalazion

A

eye hygiene, warm compress

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8
Q

Refractory tx of chalazion

A

ophtho referral for GC injection or curettage

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9
Q

When to treat pterygium

A

remove if vision affected

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10
Q

Globe rupture Tx

A

Rigid Eye Shield, IV abx, 911 ophtho

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11
Q

orbital floor blowout fx tx

A

nasal decongestants

avoid blowing nose/sneezing

Ampicillin-sulbactam or clinda

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12
Q

retinoblastoma is associated with…

A

bone neoplasms/osteosarcoma

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13
Q

Mgmt of Dry Macular Degeneration

A

Zinc + Vit C and E to slow progression

Daily amsler grid

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14
Q

Mgmt of wet macular degeneration

A

intravitreal VEGF Inhibitors:

Bevacizumab

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15
Q

Proliferative diabetic retinopathy tx

A

VEGF Inhibitors: Bevacizumab

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16
Q

Mgmt of retinal detachment

A

911 ophtho

keep pt supine with head turned towards detachment

17
Q

Chemical neonatal conjunctivitis tx

A

artificial tears

18
Q

gonococcal neonatal conjunctivitis prophylaxis

A

topical 0.5% erythromycin ointment

19
Q

gonococcal neonatal conjunctivitis tx

A

IM/IV ceftriaxone

20
Q

chlamydia neonatal conjunctivitis tx

A

PO erythromycin

21
Q

corneal abrasion abx for non-contact lens wearer

A

erythromycin ointment

22
Q

corneal abrasion abx for contact lens wearers

A

+ pseudomonas coverage: topical cipro/ofloxacin

23
Q

corneal abrasion mgmt < 5 mm

A

sterile irrigation + ophtho f/u in 24 hours

24
Q

Rust ring removal

A

rotating burr w/in 24 hours

25
Q

Tx for bacterial conjunctivitis in non-contact lens wearer

A

erythromycin ointment

26
Q

tx for bacterial conjunctivitis in contact lens wearer

A

topical cipro or ofloxacin

27
Q

Tx for viral conjunctivits

A

supportive tx

28
Q

Tx for allergic conjunctivitis

A

Topical olopatadine (H1 blocker)
OR
pheniramine-naphazoline

+/- topical ketorolac

29
Q

Ocular chemical burn mgmt

A

prompt LR or NS irrigation

topical polymyxin-trimethoprin/erythromycin/moxifloxacin

30
Q

1st line mgmt of strabismus

A

occlusive patch for normal eye

31
Q

Orbital cellulitis mgmt

A

admission + IV vanco & ceftriaxone or cefotaxime

32
Q

preseptal cellulitis mgmt

A

PO clinda (MRSA coverage)

OR

TMP-SMZ + amoxicillin/augmentin/cefpodoxime

33
Q

Mgmt of bacterial keratitis

A

topical FLQ (moxi, gati) after Cx

34
Q

Tx for herpes keratitis

A

PO acyclovir

topical trifluridine, ganciclovir ointment

Rapid DDx (3 decks)

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