Trauma Flashcards

1
Q

Where is it important to check in metallic foreign body

A

Under the eyelid

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2
Q

Management of metallic foreign body

A

Instil topical anaesthetic and remove

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3
Q

Management if rust ring remains after metallic FB removal

A

There is still going to be toxic damage to the cornea so refer

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4
Q

Whats important to establish in chemical injuries

A

Where the chemical was acid or alkali

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5
Q

Which pH of chemical injury is worse

A

Alkali as it penetrates the eye more

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6
Q

How are chemical injuries graded

A

Based on details through the corneal oedema

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7
Q

Management of chemical injury

A

Test pH, irrigate eye until pH of eye normalises

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8
Q

Common causes of corneal abrasions

A

Contact lenses, FB, fingernails, eyelashes, entropion

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9
Q

Which infection is associated with contact lens wearers

A

Pseudomonas

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10
Q

Presentation of corneal abrasions

A

Painful red eye, FB sensation, watering eye, blurring vision, photophobia

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11
Q

Diagnosis of corneal abrasion

A

Fluorescein stain

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12
Q

How long does it take for uncomplicated corneal abrasions to heal

A

2-3 days

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13
Q

What is a sign of corneal perforation

A

Iris prolapse and tear drop iris sign.

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14
Q

What is a blow out fracture

A

Fracture of the orbital floor

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15
Q

What happens in a subconjunctival haemorrhage

A

Small blood vessels in the conjunctiva rupture and release blood inbetween the sclera and conjunctiva.

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16
Q

Causes of subconjunctival haemorrhage

A

After episodes of strenuous activity, trauma or relating to predisposing condition

17
Q

Predisposing conditions to a subconjunctival haemorrhage

A

HTN, bleeding disorders, whooping cough, medications, NAI

18
Q

Presentation of subconjunctival haemorrhage

A

Bright red patch of blood underneath the conjunctiva and in front of the sclera covering the white of the eye. Painless, no vision changes

19
Q

Management of subconjunctival haemorrhage

A

Resolve spontaneously without treatment

20
Q

Eg of blunt trauma to the eye

A

Blowout fracture, traumatic mydriasis, lens subluxation, traumatic cataract, traumatic iris loss, iridodialysis

21
Q

Which type of eyelid laceration will require specialist management

A

Full thickness laceration affecting the punctum due to the lacrimal drainage needing to be repaired