Terms
Assessment
Manifestations
Interventions
Pharmacology
100
What is the definition of Bell's Palsy?
What is unilateral facial paralysis due to CN VII damage -it is often associated with herpes simplex virus
100
Your patient has nasal, sinus pain, purulent nasal drainage, recurrent epistaxis, fever, what do they likely have?
What is a Nasal Foreign Body
100
Your patient has shock-like pain for seconds or minutes, unilateral, affects lips, cheeks, jaw, eyes, forehead, scalp, nose, what do they have?
What is Trigeminal Neuralgia
100
Interventions for Bell's Palsy
What is -Antivirals, corticosteroids may shorten course -analgesics -use sunglasses -artificial tears during daytime -lubricants at nighttime -moist heat -facial massage to prevent contractures or paralysis
100
Interventions for a nose bleed
What is -elevate HOB, suction as needed -IV fluids if severe -pinch nostrils for 10 minutes with continuous pressure Cauterization: -silver nitrate sticks -Diathermy -Electrocautery Nasal Packing: -pledget soaked with 4% cocaine, phenylephrine, lidocaine with epinephrine -epistaxis balloon
200
What are the two types of orbital wall fractures?
What is Blow In- looks like eye bulging (exophthalmos) -can occur with baseball hitting side of face Blow out- bone fracture outward from eye -looks like eye is sunk into socket (enophthalmos) -can occur with direct force to eye socket
200
Your patient has respiratory distress, swelling of submandibular, sublingual spaces, pain, tenderness, dysphagia, drooling, muffled voice, fever, Trismus, what do they have?
What is Ludwig Angina
200
Your patient has malocclusion, trismus, edema, ecchymosis, signs of trauma, point tenderness, numbness to lower lip, what do they have?
What is a Mandibular Fracture
200
Interventions for mandibular fractures?
What is -suction, airway patency -elevate head of the bed -apply cold packs -analgesics and antibiotics as needed
200
Medications used to treat Otitis Media?
What is -systemic antibiotics -analgesics -antipyretics -instruct caregiver on importance of finishing antibiotic therapy
300
Tip to remember category of Le Fort fractures
What is A Man with a Mustache goes to the Pyramids and takes off his mask.
300
Your patient has sharp, middle ear pain, sensation of fullness, hearing loss, fever, bulging tympanic membrane, History of Upper Respiratory Infections, and is pulling at their ear, what do they likely have?
What is Otitis Media
300
Your patient has deviation of uvula, drooling, difficulty swallowing (dysphagia), fever, halitosis, muffled voice, pain in throat radiating to ear, swollen soft palate, cervical lymphadenitis, erythematic tonsils with exudates, Trismus, what do they have?
What is Peritonsillar Abscess
300
Interventions for Maxillary fractures?
What is -secure airway -frequent suctioning -elevate HOB -apply ice -ophthalmology, neurologic consults for Le Fort II, III fractures -surgery
300
Drugs used to treat Acute Angle Closure Glaucoma?
What is -facilitate drainage, decrease pressure Miotic eye drops-Pilocarpine Topical beta-blockers-Timolol Maleate Carbonic Anhydrase Inhibitors-Acetazolamide Antiemetics Opioids
400
Definition of Peritonsilar Abscess
What is collection of purulent material around tonsils that may lead to deep tissue infection, often follows pharyngitis, tonsilitis
400
Your patient has pain, photophobia, sensation of FB, tearing, blurred vision, eyelid swelling, possible purulent drainage, "white spots", what do they have?
What is Corneal Ulceration
400
Your patient has pain, depends on the sinus cavity affected, nasal congestion, mucopurulent discharge, malaise, fever, facial swelling
What is Sinusitis
400
Interventions for Dental Trauma?
What is -preserve tooth -replace in socket or If replanting tooth is desired, any of the following interventions may apply: -replace in socket -place between cheek/gum, under tongue -place in glass of milk -place in Hank's balanced electrolyte solution\ Replant within 6 hours
400
Medications/Interventions for Ocular Emergencies?
What is -immediate irrigation: DO NOT delay irrigation for visual acuity assessment Irrigate with NS or LR: -until pH 7-7.5 -up to 60 minutes -Anesthetic drops -Tetanus -consider patching -Ophthalmology consult
500
Definitions for Miosis, Mydriasis, Enophthalmos, Exophthalmos, Ptosis?
What is Miosis-constricted pupil Mydriasis-dilated pupil Enophthalmos-sinking of the eye inward Exophthalmos- bulging of eye outwards Ptosis- Drooping eyelid
500
List the eight nerves listed in your handout and what function each of them effects
What is CNIII= lack of pupillary response CNIII, IV, and VI= loss of appropriate eye movement CNV= loss of sensation to one side of the face Ophthalmic branch I=loss of sensation to scalp and forehead, upper eyelid, conjunctiva, cornea, nose Maxillary branch V2, Infraorbital nerve (maxillary fractures)= loss of sensation to upper lip, lower eyelid, and cheek Mandibular branch V3, Inferior alveolar nerve (mandibular fractures)=loss of sensation to lower lip, chin and jaw
500
Your patient has tinnitus, hearing loss, rotational vertigo, nausea, vomiting, nystagmus, vagal stimulation (abdominal pain, diaphoresis, bradycardia, pallor, episodic, lasting a few minutes to several hours, can recur for weeks or months, what do they have?
What is Meniere Disease
500
Interventions for a foreign body in the ear?
What is -kill live insects first with lidocaine, mineal oil -suction or use alligator forceps -avoid irrigating if FB is organic -avoid pushing FB further into ear canal -consider sedation
500
Pharmacological interventions Meniere's Disease?
What is -Meclizine -antihistamines -steroids -anticholinergics -benzodiazepines -diuretics
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