NR667 CEA Module notes Questions With
Complete Solutions
Hordeolum
- Abscessed hair follicle and or sebaceous gland
- Warm compresses, empiric antibiotics for
preseptal cellulitis
- I&D
Hyphema
- Permanent damage to vision if not treated
- Makes visual fields appear reddish, blurred, or
diminished
- Light sensitivity
- Treatments includes bedrest, steroid, beta
blocker, reduced activity, surgery.
Detached retina
- Flashing lights, many floaters at once, shadowy
peripheral vision, gray curtain over part of view.
- Treatment: ophthalmologist ASAP, vitrectomy,
pneumatic retinoplasty, scleral buckle.
- Risk factors: fluroquinolones, pilocarpine.
common eye procedures
- Fluorescein stain, /sodium- Corneal abrasion
- Woods lamp- UV light used
- Rust ring removal- burr like tool, buzz the bust
,- Morgan lens: eye irritation, flushing
- Non-dilated eye exam: contours, AV nicking,
retina, etc.
AOM
- S. pneumonia and H. influenzae, group A strep, S
aureus, M catarharris less frequent.
Treatment: Augmentin first line treatment
Otitis externa
- P. aeruginosa, s. epidermidits, s. aureus
- Treatment: topical antibiotic and glucorticoids,
non-intact TM, topical fluroquinolones or oral
antibiotics.
otitis media with effusion
- Fluid in ear without infection. Majority resolve
over 12 weeks. Symptom management with
decongestant, antihistamines, and nasal
corticosteroids.
meniere's disease
- Vertigo, tinnitus, hearing loss, sense of fullness.
- Treatments: sodium restriction, water intake
increase, diuretics, meclizine, Dramamine,
Antivert, dexamethasone injection, gentamycin
injection, endolymphatic shunt, etc.
acute rhinosinusitis
,- Inflammation of nasal cavity and paranasal
sinuses
- Treatment: Augmentin, doxycycline
allergic rhinitis
- Inflammatory changes of nasal mucosa caused by
allergen.
- Treatment: first line is topical nasal spray.
Antihistamine spray, decongestants as needed.
Epistaxis
- Treatment: packing, cautery, ENT referral, nasal
vasoconstricting agents. Cocaine, phenylephrine,
chronic prevention, nasal saline.
Pharyngitis
- Streptococcal
- Very common
- Over 10 days, need to cover SBE prophylaxis
- Risk for strep causing endocarditis.
- treatment amoxicillin, cephalexin, azithromycin.
mononucleosis
- Epstein Barr virus
- Highly contagious
- Symptoms: extreme fatigue, splenomegaly,
enlarged lymph nodes, sore throat, fever, malaise.
- Avoid PCN antibiotics or rash is common.
retropharyngeal abscess
, - ENT emergency
- Haemophilus, fusobacterium, staph aureus
- Identified on x-ray or CT imaging
Treatment: ENT consultation, ceftriaxone or
clindamycin IV, intubation, surgical drainage of
abscess
Epiglottis
- True emergency
- Distress, drooling, dysphonia, dysphagia.
- Treatment: Oxygen mask, Rocephin
- Caused by haemophilus influenzae
primary skin lesions
- Macule: flat, non-palpable (freckles)
- Papule: solid (mole)
- Plaque: flattened, elevated (psoriasis)
- Vesicles (herpes simplex)
- Bulla (impetigo, burn, blister)
- Pustule (acne)
secondary skin lesions
- Lichenification (eczema)
- Scale (psoriasis)
- Crust (impetigo)
- Ulceration (pressure injury)
- Keloid (surgical incision)
hives
Complete Solutions
Hordeolum
- Abscessed hair follicle and or sebaceous gland
- Warm compresses, empiric antibiotics for
preseptal cellulitis
- I&D
Hyphema
- Permanent damage to vision if not treated
- Makes visual fields appear reddish, blurred, or
diminished
- Light sensitivity
- Treatments includes bedrest, steroid, beta
blocker, reduced activity, surgery.
Detached retina
- Flashing lights, many floaters at once, shadowy
peripheral vision, gray curtain over part of view.
- Treatment: ophthalmologist ASAP, vitrectomy,
pneumatic retinoplasty, scleral buckle.
- Risk factors: fluroquinolones, pilocarpine.
common eye procedures
- Fluorescein stain, /sodium- Corneal abrasion
- Woods lamp- UV light used
- Rust ring removal- burr like tool, buzz the bust
,- Morgan lens: eye irritation, flushing
- Non-dilated eye exam: contours, AV nicking,
retina, etc.
AOM
- S. pneumonia and H. influenzae, group A strep, S
aureus, M catarharris less frequent.
Treatment: Augmentin first line treatment
Otitis externa
- P. aeruginosa, s. epidermidits, s. aureus
- Treatment: topical antibiotic and glucorticoids,
non-intact TM, topical fluroquinolones or oral
antibiotics.
otitis media with effusion
- Fluid in ear without infection. Majority resolve
over 12 weeks. Symptom management with
decongestant, antihistamines, and nasal
corticosteroids.
meniere's disease
- Vertigo, tinnitus, hearing loss, sense of fullness.
- Treatments: sodium restriction, water intake
increase, diuretics, meclizine, Dramamine,
Antivert, dexamethasone injection, gentamycin
injection, endolymphatic shunt, etc.
acute rhinosinusitis
,- Inflammation of nasal cavity and paranasal
sinuses
- Treatment: Augmentin, doxycycline
allergic rhinitis
- Inflammatory changes of nasal mucosa caused by
allergen.
- Treatment: first line is topical nasal spray.
Antihistamine spray, decongestants as needed.
Epistaxis
- Treatment: packing, cautery, ENT referral, nasal
vasoconstricting agents. Cocaine, phenylephrine,
chronic prevention, nasal saline.
Pharyngitis
- Streptococcal
- Very common
- Over 10 days, need to cover SBE prophylaxis
- Risk for strep causing endocarditis.
- treatment amoxicillin, cephalexin, azithromycin.
mononucleosis
- Epstein Barr virus
- Highly contagious
- Symptoms: extreme fatigue, splenomegaly,
enlarged lymph nodes, sore throat, fever, malaise.
- Avoid PCN antibiotics or rash is common.
retropharyngeal abscess
, - ENT emergency
- Haemophilus, fusobacterium, staph aureus
- Identified on x-ray or CT imaging
Treatment: ENT consultation, ceftriaxone or
clindamycin IV, intubation, surgical drainage of
abscess
Epiglottis
- True emergency
- Distress, drooling, dysphonia, dysphagia.
- Treatment: Oxygen mask, Rocephin
- Caused by haemophilus influenzae
primary skin lesions
- Macule: flat, non-palpable (freckles)
- Papule: solid (mole)
- Plaque: flattened, elevated (psoriasis)
- Vesicles (herpes simplex)
- Bulla (impetigo, burn, blister)
- Pustule (acne)
secondary skin lesions
- Lichenification (eczema)
- Scale (psoriasis)
- Crust (impetigo)
- Ulceration (pressure injury)
- Keloid (surgical incision)
hives
