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NR511 CH 8 EENT PROBLEMS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NR511 CH 8 EENT PROBLEMS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NR511 CH 8 EENT PROBLEMSQUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
Dry eyes - ANSWER A relatively common syndrome that affects a significant portion of the US, especially
those older than 40, and may be more prevalent in Asian and Hispanic population's.
Characterized by in adequate tear production
Dry eye causes - ANSWER One. Mechanical abnormalities that interfere with this bread or maintenance
of tears over the eyeball surface
Two. Lacrimal gland malfunction
Three. Mucin deficiency
Differential diagnosis of dry eye - ANSWER Conjunctivitis
Blepharitis
Contact lens complications
Exopthalmos
Extropion
Bell's palsy
Medicamentosa
Sjögren's syndrome
Age related changes
Hormonal changes
Systemic vitamin a deficiency
Dragon action
Epiphoria - ANSWER Excessive tearing that is often the case of paradoxical tearing or a response to dry
eye
Differential diagnosis of Epiphoria includes - ANSWER Allergens
, Dry eye syndrome
Viral or bacterial conjunctivitis
Blocked lacrimal duct
Ectropion
Trauma as in foreign body or corneal abrasion
Environmental pollutants
Glaucoma
Eye pain - ANSWER The most important thing for the clinician to know in the case of a pain in and
dealing with my problems in general is one to refer the patient to an ophthalmologist
Differential diagnosis of a pain - ANSWER Referred pain ( trauma, headache, sinusitus,
temporomandibular disorders, herpes zoster opthalmicus, postherpetic neuralgia, tumors, stroke,
trigeminal neuralgia)
Eyelid disorders (Hordeolum, trauma, blepharitis)
Conjunctivitis, corneal abrasion's, ulcerations, foreign body, ultraviolet light over exposure, overuse of
contact lens, or computer use
Pain with swelling(orbital cellulitis)
Pain with eye-movement(scleritis, episcleritis)
Deep pain (Uveitis, glaucoma close para
Conditions requiring immediate referral to an ophthalmologist - ANSWER Severe in sudden vision loss or
sudden severe nontraumatic eye pain. Ox exam :
Corneal ulcer ration
Suspected herpes zoster opthalmicus
Hazy cornea
Irregular people
Elevation of fundus on funduscopic exam
Papilledema
Limbal flush
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