Eyes
Most prevalent type of conjuncitivitis
Viral
What is most likely the cause of viral conjunctivitis?
Only pharmacological option for exccessive earwax
Carbamide Peroxide (Debrox)
Ear drop administration for ages < 3
pull ear DOWN and back
T/F: Statistically significant and clinically significant are interchangeable
FALSE
This age range has the highest prevalence of conjunctivitis
Age 0-4
Name a few self-care exclusions for eye diseases
eye pain, light sensitivity, blurry vision, contacts, chemical exposure, blunt trauma, symptoms >72 hours
You must be this old to be a self-care candidate for ear problems
12 yo
anatomical differences in eustachian tubes in age <2
shorter, horizontal, flexible
What does a p-value mean?
The probability of obtaining results at least as extreme as the observed results, assuming the null hypothesis is true
Why do we recommend using eye ointment at night
Blurry vision (~20 minutes after administration)
What are the DOC for allergic conjunctivitis?
Mast cell stabilizers
Antibiotic of choice for OME
TRICK QUESTION - not infectious so don't use antibiotics
Risk factors for AOM
smoke exposure, unvaccinated, daycare, male, cochlear implants, NOT breastfeeding, cleft palate, etc
If the p-value is 0.1, what do you do with the null
FAIL to reject
What preservative eye ingredient has antifungal activity and LESS allergic reaction risk
Chlorobutanol
Preferred topical antibiotic treatment for conjunctivitis if the patient wears contacts
Fluoroquinolones
S. pneumo, M. cat, H. influ
Duration of Treatment for mild/moderate AOM
2-5yo: 7 days, >6yo: 5-7 days
Which is better: a wide confidence interval or a narrow confidence interval?
Narrow
How long can you use opthalmic decongestants and WHY does it have the time limit
72 hours, rebound congestion
Contraindications for opthalmic decongestants and antihistamine
pregnancy, DM, HTN, closed-angle glaucoma
1st line Tx for AOM? What if they had that drug for AOM in the last 30 days?
Amoxicillin, then Augmentin
What makes a patient a candidate for watchful waiting
Unilateral, >6 mo old, nonsevere (aka fever <102.2 and mild pain <48 hrs)
If I have a 95% confidence interval of 120-125, what does that mean?
Or: If I did this same study 100 times, the mean from 95 of those tests would fall within this range