Shared Flashcard Set

Details

Med Surg: Ophtho - PPT 2
Fall Semester - 2010 (Trauma and Red Eye)
32
Medical
Graduate
11/02/2010

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Cards

Term
What condition is caused by an infection of the Meibomian Glands?
Definition
Hordeolum (Stye)
Term
What condition is caused by a chronic inflammation of the meibomian glands (not an infection)?
Definition
Chalazion
Term
What condition is described as chronic eyelid margin inflammation with burning, lid margin crusting or d/c
Definition
Blepharitis
Term
What condition causes persistent tearing and d/c often associated with a red eye?
Definition
Dacryoadenitis
Term
With periorbital cellulitis, are vision, pupils or EOMs affected?
Definition
No, no decrease in vision, PERRLA (may be photophobic) and EOMs not affected
Term
What are the common pathogens that cause Orbital Cellulitis? What is orbital cellulitis a common following?
Definition
Strep and Staph; Secondary to URI or Sinusitis
Term
With Orbital cellulitis, are vision, pupils or EOMs affected? What abnormality may be found on CBC?
Definition
Vision is decreased and sluggish
Proptosis causes decreased EOMs
Elevated WBCs
Term
What are the most common pathogens causing Bacterial Conjunctivitis?
Definition
Staph Aureus, Strep and HiB
Term
What is the most common pathogen causing viral conjunctivitis?
Definition
adenovirus
Term
With viral conjunctivitis that is normally self-limiting, when should you send pt to ophthalmologist?
Definition
if pain, photophobia or vision loss worsen
Term
From where does the Pinguecula or Pterygium arise?
Definition
Arise from bulbar conjunctiva
Term
From where does the Pinguecula or Pterygium arise?
Definition
Arise from bulbar conjunctiva
Term

[image]

What condition is this?

Definition
Pterygium
Term

[image]

What condition is this?

Definition
Pinguecula
Term
What is the major hx finding that helps you dx corneal abrasion?
Definition
Hx of mild trauma to the eye
Term
What condition is characterized by signs and symptoms including severe pain and foreign body sensation, epiphora, photophobia, conjunctival injection, involuntary lid closure, and decreased visual acuity?
Definition
Corneal Abrasion
Term
What two tests help to discover and measure a corneal abrasion?
Definition
Fluorescein Dye (w/Wood's Lamp) and Slit-Lamp
Term
If a contact lens wearer has contact lens irritation, how long should they go without wearing their contacts?
Definition
14 days
Term
At what point do you refer a corneal foreign body to an ophthalmologist?
Definition
If it penetrates the globe
Term
What can a metallic foreign body leave on the eye?
Definition
rust ring
Term
What conditions has characteristic signs and symptoms including detectable penetration site, epithelial edema, irregular pupil, vitreous hemorrhage, decreased IOP, decreased vision, lens dislocation, aniscoria and siderosis?
Definition
Intraocular Foreign Body
Term
What should you use to protect the eye after Intraocular Ocular Foreign body?
Definition
Protective Shield over eye
Term
What is a characteristic finding in the hx of a patient with Ultraviolet Keratitis?
Definition
Welding or Sunbathing (without protective eyewear)
Term
What condition has characteristic signs and sx including dense punctate staining of the cornea moderate to severe pain, red eyes, tearing, blurred vision, photophobia, and blepharospasm?
Definition
Ultraviolet Keratitis
Term

[image]

What condition is this?

Definition
Ultraviolet keratitis
Term
Which type of chemical burns are most serious?
Definition
Alkali
Term
If a Hyphema occurs in a child what should be considered?
Definition
Hyphemas are not spontaneous and you should consider abuse
Term
If an african american comes in presenting with a hyphema, what should you screen for?
Definition
Sickle-Cell Anemia
Term
How do you protect an eye with a hyphema?
Definition
Shield eye
Term
Which type of blow-out fracture involves the orbital rim and extends posteriorly involving the floor?
Definition
Direct Fracture
Term
Which type of blow-out fracture involves compression of the soft tissues of orbit, forces transmitted against the orbital walls causing fractures of the walls of the orbit with no orbital rim involvement?
Definition
Indirect Fractures
Term
What condition presents with characteristic signs and sx including pain occurring with eye movement, double vision, enophthalmos (posteriorly displaced), restricted EOMs and numbness of tingling of upper cheek?
Definition
Blow-out fracture
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