Exam (elaborations)
TCP Final: Ophtho Complaints
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TCP Final: Ophtho Complaints TCP Final: Ophtho Complaints TCP Final: Ophtho Complaints
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TCP Final: Ophtho Complaintsmonocular vs binocular - ANS M: eyes working together to create one image
B: eyes working separately, double vision
abnl in visual field testing may indicate... - ANS brain bleed
Flurosciene stain: good for looking for... - ANS globe rupture
corneal abration
HSV
unilateral, purulent d/c, eye crust shut, injection; most dangerous type - ANS bacterial conjunctivitis
tx: ABX
COPIOUS, constant purulent d/c of the eye; must consider:
tx? - ANS gonoccocal infection
Ceftriaxone + doxycycline
bilateral clear discharge, injection, rhinorrhea, nasal congestion; tx? - ANS viral conjunctivitis;
supportive
bilateral, pruitic, watery, burning eyes; tx? - ANS allergic conjunctivitis
OTC antihistamine eyedrops
MC type of conjunctivitis - ANS viral
red, gritty sensation of the eye; may have photophobia or FB sensation; tx? - ANS dry eyes
*may be sjogren's, non-sjogren's, or evaporative
, tx: artifical tears, refer to ophtho
FB of the eye
-workup
-management - ANS -hx is super important here!!!
-dilating eye can be useful here
-Morgan's lens to flush out object otherwise if severe consult ophtho
d/c with ABX + ophtho f/u
when is dilating pupils useful? - ANS when we suspect a FB, Diabetic neuropathy screening / follow
up visit[s]
pt presents with FB sensation, pain, tearing of one eye; no hx of FB exposure or chemical accidents;
no obvious trauma to eye; workup? tx? - ANS suspecting possible corneal abrasion
Fluorosciene stain + Wood's lamp
-ABX: cipro of contacts; erythromycin if no contacts
-Ophtho f/u!
pt presents w/ large erythmatous lump on their upper eyelash line; denies pain/tenderness;
suspect? management? - ANS Chalazion
warm compress; if not improving, refer to ophtho
pt presents c/o pain along their lash line; a small, erythematous bump is visible; suspect?
management? - ANS stye (hordeolum); warm compress & refer to ophtho if no improvement for
possible I&D
pt presents c/o a painful, burning eyelid; there are no visible lumps along the lash line or under the
eye lid; suspect? tx? - ANS blephritis (inflammation of the eyelid MC seen in those with oily skin)
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