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Opthomology > Trauma > Flashcards

Trauma Flashcards

1
Q

What are the considerations in Chemical burns?

A

True ocular emergency
Alkali more serious than acid
Immediate irrigation essential

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2
Q

What is the Initial Tx of Chemical Burns?

A 
Topical Anesthetic
Check for foreign bodies
IRRIGATION
Cycloplegic Agents 
Abtx
Pressure patch
Refer to Optho
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3
Q

What are the Symptoms of Corneal Abrasion?

A

Foreign Body sensation
Pain
Tearing
Photophobia

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4
Q

What is the Tx of Corneal Abrasion?

A

Topical Abtx: Polymyxin/ Trimethoprim, tobramycin, cipro
Topical NSAID(ketorolac)
Bandage Contact lens?

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5
Q

What is the Alternate Tx for Corneal Abrasion?

A

Topical Cycloplegic
Topical Abtx ointment
Pressure Patch

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6
Q

When should you refer a corneal abrasion?

A

Not healed in 24 hrs
Abrasion related to Contact lense wear
White Corneal Infiltrate

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7
Q

Who Should not be given a patch for Corneal abrasion?

A

Contact lense wearer
Dendritic or stellate Epith defects
Poor historians

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8
Q

How should a corneal foreign body be managed?

A

Remove the Foreign body AND the rust ring. If not it will not heal.

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9
Q

What are the complications of Hyphema?

A

Rebleeding into the anterior chamber

Glaucoma

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10
Q

What is the management of a Hyphema?

A

Assume globe ruptured

Shield and refer

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11
Q

What shoud be done if globe is ruptured or laceration suspected?

A

Stop exam
Shield eye
Tetanus Prophylaxis
Refer immediately

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12
Q

What is the management of Severe Orbital Hemorrhage?

A

Emergent Lateral Canthotomy consult

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13
Q

What are the features of Severe orbital Hemorrhage?

A

Bullous subconjunctival hemorrhage
Proptosis
Corneal exposure
Elevated IOP

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14
Q

What are the features of Orbital Fracture?

A 
Blow out vs Direct(accordion)
Periorbital edema, ecchymosis
Surgical indications
-persistent diplopia
-poor cosmesis
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15
Q

What is the tx of Superficial lid lacerations?

A

Avoid lid margin retraction
Remove superficial foreign bodies
Rule out deep FB
Give tetanus prophylaxis

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16
Q

What are the features of Ultraviolet Keratitis?

A

Welder’s burn, snow blindness

Photophobia, FB sensation, Tearing, Pain

17
Q

What is the Tx of UV Keratitis?

A

Cycloplegics

Analgesics

18
Q

What is the Tx of Traumatic Optic Neuropathy?

A

Orbital or cranial surgery if direct trauma

19
Q

What is the Tx of Central Retinal Artery Occlusion?

A 
Digital Massage
Glaucoma Meds
Call optho
High dose systemic steroids
Temp artery biopsy
Preserve other eye 
prevent CVA or MI

Opthomology (10 decks)

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