SHelf 2 Flashcards
presents with a red eye, pain (harsh, foreign body feeling), photophobia, tearing, decreased vision, possibly a skin rash of the eyelid, and, often, the classic branching dendritic ulcer of the cornea that stains brightly with sodium fluorescein dye. Always do a slit-lamp exam, not only for delineating the cornea disease but to check the anterior chamber for evidence of uveitis seen in many patients with recurrences.
HSV keratoconjunctivitis
66 YOW has acute vision loss in R eye x 1 h. No pain or previous hx. T2DM, HTN. Pupil does not react to direct light but is consensual with conlat light. Movement is intact. PE: pallor of disc, macular edema, thin arterioles, thickening of retinal v. Dx?
central retinal artery occlusion
develop acute and profound loss of vision in one eye that is usually painless. Occasionally, CRAO is preceded by transient monocular blindness or there is a stuttering or fluctuating course [73]. Rarely, the initial event is heralded by flashing lights.
small temporal island of vision.
“cherry red spot” in macula
cental retinal vein occlusion
Diabetic w/ complain of painless acute onset of blurred vision in one eye. seldom asymptomatic.
Patients who present may exhibit additional findings. Neovascularization of the iris and/or neovascularization of the anterior chamber angle can lead to the development of neovascular glaucoma. In addition to decreased vision, these patients may complain of a red, painful eye secondary to elevated intraocular pressure.
central retinal vein occlusion
may first present with eyelid swelling and erythema and then evolve into a painless, rubbery, nodular lesion. It is seen commonly in patients with eyelid margin blepharitis and in those with rosacea. An inflamed area will often calm and scar into this
chalazion
an acute purulent inflammation of the eyelid. It may be sterile or may show both inflammatory cells and bacteria, most commonly Staphylococcus aureus. An internal type represents inflammation of a meibomian gland just under the conjunctival side of the eyelid. An external type (stye) arises from an eyelash follicle or a lid-margin tear gland
hordeolum
CBD >5mm and elevated elevated liver enzymes
choledocholithiasis
epigastric pain and CBD >5mm and elevated elevated liver enzymes wiht amylase and lipase elevated
gallstone pancreatitis
test done by nuclear medicine physicians to diagnose obstruction of the bile ducts (for example, by a gallstone or a tumor), disease of the gallbladder, and bile leaks. It sometimes is referred to as a HIDA scan or a gallbladder scan.
cholescintigraphy
ciliary glands in the eyelids; the ceruminous glands, which produce ear wax; and the mammary glands, which produce milk = ____ glands.
The rest of the body is covered by __ sweat glands.[9]
apocrine
eccrine
chronic destructive inflammatory disorder of the terminal follicular epithelium in apocrine gland-bearing regions. It is thought that follicular occlusion leads to trapping of follicular contents, rupture, and inflammation of the dermis, with bacterial superinfection in some cases. More common in women and individuals of African descent.
The nodules are seen most commonly on the buttocks, breasts, and in the groin and axillae. Usually, the onset of the disease occurs soon after puberty, and patients typically report recurring “boils.” Symptoms may include local pain and tenderness during a flare-up and arthralgias. Shaving, depilation, deodorants, and mechanical irritation can worsen this condition, but irritation of the skin is usually not a major factor.
Hidradenitis suppurativa
2 d S/P carotid endarterectomy, 62 YOM with slurred speech, weakness in R arm,leg for 1 h. He had no neuro findings at d/c. BP 170/95. Incision is clean dry and intact. No abnormalities on carotid duplex. CT head shows intraparenchymal hemorrhage. Cause?i
hypertension
CEA recommendations:___% stenosis in asx v. sx
asx = 70% sx = 60%
two most severe complications of following CEA
acute MI and perioperative stroke
76 YOM sustained a midshaft femur fracture during MVC. In ED circumference of right thigh is 2x left thigh. Pulse is 120, RR 16, BP 80/60.Large boe IV catherter is inserted. What finding best indicates adequate resuscitation in this pt?
urine output 30-40mL
???
