Eye
What is a painless, inflamed lump in the upper eyelid?
Chalazion
What is the triad seen in Meniere's disease?
episodic vertigo, fluctuating hearing loss, and tinnitus,
Your patient in room 9 has woody enduration of the neck. Where did the infection likely start?
likely a dental infection caused ludwigs
You are climbing Mt. Kilimanjaro with Dr. McHugh when he starts to act confused and have trouble walking. In addition to supplemental oxygen and descent, what medication should you administer?
Dexamethasone
Beibelhausen went skiing and forgot his ski goggles. Now his eyes are red and painful. What is the diagnosis?
UV keratitis
How can you tell pre-septal vs post-septal cellulitis before getting a CT scan?
Pain with eye movement, vision impairment, and proptosis all suggest post-septal cellulitis
Suri convinces you to go to her piercing party. Three days after she pierces your helix, your ear becomes swollen, red, and warm. What is the diagnosis?
Perichondritis
A 7 year old at children's has a barking cough you can hear from triage. Triage vitals reveal tachycardia and tahcypnea. On exam, the patient has a tender anterior neck. Chart review reveals they were hear a week ago with barking cough. What is the diagnosis?
Bacterial tracheitis
A patient is on their way to Room 18 when you notice they have an extremely ataxic gait. The patient tells you he believes he is at the grocery store. There is a well documented history of alcohol abuse in the chart. Which physical exam findings would suggest Wernicke's encephalopathy?
Oculomotor dysfunction
Negin's cat gets spooked and jumps on her face. She presents to the Green ED with ciliary flush. What is the diagnosis?
Traumatic iritis
1) blood and thunderous retina
2) cherry red retina
1) central retinal vein occlusion
2) central retinal artery occlusion
Svetlana says she just has a sinus infection that won't go away but you notice chemosis and periorbital edema. What is your diagnosis?
Cavernous Sinus Thrombosis
An elderly patient on apixaban has persistent posterior epistaxis despite anterior packing. What artery is most commonly responsible?
sphenopalatine artery
Kenton is working in the middle-of-nowhere Ohio and receives an unstable, altered patient with a VP shunt from his local EMS. CT Brain shows worsening, severe ventriculomegaly. What should Kenton do?
complete a sterile shunt tap
Makowski wants you to ultrasound his eyeball during an episode of vision changes. You see a thin, hyperechoic line across the globe that is not tethered to anything. What do you tell him he has?
Vitreous detachment
Lorne tells you his kid has an overflow of tears with unilateral, pain and swelling medial to the eye. Do you prescribe Lorne's kid antibiotics? What is the diagnosis?
Yes, dacryocystitis
What should you not prescribe for ruptured TM?
Neomycin and Polymyxin B
A 7 year old at children's has a barking cough you can hear from triage. Triage vitals reveal tachycardia and tahcypnea. On exam, the patient has a tender anterior neck. Chart review reveals they were hear a week ago with barking cough. What is the diagnosis?
bacterial tracheitis
A 25 yo M in a MVA has an oblique fracture crossing zygomaticomaxillary suture, inferior orbital rim, nasal bridge. Which LeFort is this?
II
A patient presents to CCAG downtown with a small, unknown corneal foreign body. You do a slit lamp exam and find a rust ring. What is your next move?
get out the burr and call ophtho for urgent follow up
Name all the treatments for open globe injury.
eye shield
tdap
IV antibiotics
elevate head of bed
pain/nausea/anxiety treatment
call ophtho
Your last patient of the day comes in with AMS and no family to give a history. The patient is nonverbal at baseline, but you notice severe otorrhea and granulation tissue in the ear canal. What is your diagnosis?
You diagnose a PE in your respiratory distress patient. The patient reports she had a recent URI and complaining of focal anterolateral neck pain. What is the diagnosis?
lemierres
A patient presents with sudden onset facial swelling. He reports this has happened to a few members of his family in the past. He denies allergies and ACE-i use. Name one of the treatments for his condition
C1 inhibitor concentrate (Berinert)
Ecallantide (Kalbitor)
Icatibant (Firazyr)
What is the likely causative agent of neonatal conjunctivitis if the baby is less than 5 days old?
Gonorrhea