Got the Dx right on the nose!!
headin' away from pathogens
EYE know how to Dx!
say nose to complications
tx on the tip of my tongue
100
c/o fever yesterday, adenopathy and a sore throat with Bilateral watery mucoserous discharge from the eye with burning sandy gritty feeling
What is viral conjunctivitis
100
these pathogens are responsible for strep throat and AOM
What are s pneumo, h flu and m cat?
100
this movement causes pain and tenderness when a patient has OE
What is tragus is pushed or auricle is pulled, erythema of external ear canal
100
name 3 complications of strep
What is:
rheumatic fever
scarlet fever
pandas
100
moderate and severe OE have the same tx: cipro-hydrocortisone or neomycin polymyxin b hydrocort but this must be added in tx of severe sx
what is a wick
200
patient comes in: swollen neck, talking funny, deviated uvula and just wont stop drooling on himself!
brownie points if you name the Tx
What is peritonsillar abscess
extra:
-Parenteral: amp/sulbactam or clinda +vanc if severe or no response
- oral: clinda or augmentin for 14 days
200
this is the mcc of nose bleeds in kids <2
what is trauma :(
extra fact: >10 y/o is kisselbach plexus mc
200
this imaging is employed for dx of orbital cellulitis
what is CT scan?
200
untreated gonorrhea and what other infection may lead to blindess
orbital cellulitis
200
Treat before this day and with this medicine for bacterial conjunctivitis
What is before day 6 with erythromycin ointment or tmp-polymyxin b drops
-contact wearers: FQ
-Ointment for kids
300
pt comes in with complaints of hearling loss, itchiness and tinnitus..you suspect this
what is cerumen impaction
300
these 2 pathogens are the main causes of mastoiditis
what are s pneumo and strep pyogenes?
300
you may use this to Dx a foreign body in the eye
what is fluorescein stain
300
the main complication of OE is what and is mc in this population
what is:
malignant external otitis--> spread to skull base
mostly older adult diabetic or immunocompromised
300
treatment of periorbital cellulitis differs if there is skin trauma or not, augmentin is given if no skin trauma, while these drugs are given if there is skin trauma
what is amox-clauv OR cefpodoxime or cefdinir PLUS tmp-smx or clinda?
400
pt c/o nasal itching, runny nose while also being congested.... as a great provider you suspect they may have a hx of this
what is eczema or asthma
400
the most common route of infection for orbital cellulitis is this and is a rare complication of this
what is ethmoid sinuses and bacterial rhinosinusitis
400
why peritonsillar abscess Dx is clinical you may get/see this on labs
What is:
-cbc: elevated wbc (pmn leukocytes)
- electrolytes if decreased intake
-RADT for strep
- imaging not required but may get it to be sure
400
what prior Hx/complications would disallow you from using mineral oil or hydrogen peroxide for cerumen de-impaction
what is Hx of ear infxn or sus of perf?
400
amp-sublactam is used to treat mastoiditis is kids without recurrent AOM while this is used to tret kids with recurrent aom
what is pip tazo?
500
c/o ocular pain, eyelid swelling and erythema, pain with eye movements and proptosis +/- diplopia, chemosis fever
what is orbital cellulitis
500
the most common cause of viral conjunctivitis
what is adenovirus
500
a patient comes in with large red and swollen lump behind his ear..thinks maybe he got bit by a spider... being a good clinician you take a thorough history and find out he was recently sick.. this is how you dx the pt
what is usually clinical
criteria:
- postauricular erythema, tenderness, swelling, fluctuance or mass
-auricle protrusion
-otalgia
-fever
500
the 5 intracranial complications of mastoiditis
What is (venom)
- venous sinus thrombosis
-epidural or subdural abscess
-neck abscess
-osteomyelitis
-meningitis
500
treatment for orbital cellulitis is this + what If there is intracranial involvement
what is vanc + ceftriazone or cefotaxime + if intracranial involvement--> metronidazole