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Clinical Medicine: Eye Primary Care

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Clinical Medicine: Eye Primary CareClinical Medicine: Eye Primary CareClinical Medicine: Eye Primary CareClinical Medicine: Eye Primary CareClinical Medicine: Eye Primary CareClinical Medicine: Eye Primary CareClinical Medicine: Eye Primary CareClinical Medicine: Eye Primary CareClinical Medicine: Eye Primary CareClinical Medicine: Eye Primary CareClinical Medicine: Eye Primary CareClinical Medicine: Eye Primary CareClinical Medicine: Eye Primary Care

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Clinical Medicine: Eye Primary Care
Acute Angle Glaucoma - ANSWER-emergency

refer

sudden dilation of pupil

IOP is greater than 70mm

Acute Narrow Angle Closure Glaucoma - ANSWER-Sudden increase in intraocular pressure causing
abrupt onset of severe eye pain, blurred vision, halos around lights, and ipsilateral headache

Amaurosis fugax - ANSWER-transient monocular blindness

TIA of retina

embolus from carotid disease

cardiac thromboemboli

Associated with Amaurosis fugax - ANSWER-curtain coming down over the eye

rapid fading of vision

DDX of retinal detachment

Bacterial Conjunctivits - ANSWER-caused by staph, strepto, gonorrhea

may produce purulent discharge

Blepharitis - ANSWER-inflammatory disease process of eyelids

Cataract - ANSWER-lens opacity

Cataract Causes - ANSWER-aging

congenital

systemic disease

steroids

Cataract Symptoms - ANSWER-blurring of vision

slow progression

Causes of Conjunctivitis - ANSWER-bacterial

viral

allergic

chemcial

Chalazion - ANSWER-inflammation of meibomian or Zeis Gland

typically sterile

, Clinical Medicine: Eye Primary Care
Conjunctivitis - ANSWER-most common eye disease

Conjunctivitis Symptoms - ANSWER-injection

discomfort: scratchy or foreign body sensation

occasional discharge

no pain or visual issues

Considerations w/ Blepharitits - ANSWER-can be chronic

commonly associated with seborrheic dermatitis, conjunctivitis, and dry eye syndrome

Corneal Ulcer - ANSWER-presents 1-2 days after abrasion

break in corneal epithelium for invasion by bacteria, virus, or fungus

Corneal Ulcer HSV Type - ANSWER-Type 1

Corneal Ulcer Symptoms - ANSWER-pain

redness

photophobia

tearing

decreased vision

DDX of Subconjunctival Hemorrhage - ANSWER-Scleral rupture

non-traumatic bloody chemosis

conjunctivitis,

iritis

corneal-scleral laceration

sever hypertension

coagulopathy

DDX of Subconjunctival Hemorrhage from Bloody Chemosis - ANSWER-flat apperance of the conjunctival
membranes

Dendritic ulcer - ANSWER-forms on eye

can affect cornea

associated with HSV Corneal Ulcer

External Hordeolum (Sty) - ANSWER-infection at lid margin involving gland of Zeis or Moll

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