Status: Passed!!
128 Questions & Answers
, 4, 12, 21 3, 8 , 19
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What are the main finding of CHRONIC OM?
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perforated TM and chronic ear
serous fluid accumulation behind an
discharge with our w/o pain.
intact tympanic membrane without
May result in condunctive
infection
hearing loss
acute onset of severe ear pain, fever, sudden sensorineural hearing loss
and bulging tympanic membrane and vertigo without otalgia
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Your patient presents with redness and swelling of the ear canal, and
pain with movement of the auricle. You diagnose OE. What is your
treatment plan?
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observation only, as oe is typically oral antibiotics (amoxicillin) and warm
self-limiting and resolves in 24 hours compresses to the ear
antibx otic drops
(aminoglycoside or
systemic corticosteroids and
fluoroquinolone + steroids) and
immediate referral to an ent surgeon
avoid further moisure or ear
injury
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What is the tx for viral conjunctivitis?
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, emergency optho to discuss laser surgery or cryosurgery
remain supine with head turned to the side of the retinal detachment
topical therapy such as corticosteroids can provide symptomatic relief
1 week oral prednisone taper can be helpful
cimetidine can be used as maintenance tx
eye lavage with normal saline twice a day for 7 to 14 days, vasoconstrictor-
antihistamine drops
warm to cool compresses
ophthalmic sulfonamide drops
emergency optho. recumbent position an dgentle ocular massage. vessel dilation
and paracentesis are attempted to save the eye. Work up and mgmt of
artherosclerotic dz or arrythmias is warranted to reduce the risk of reccurence
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mastoiditis is a complication OM and can present with spiking fever
and post auricular pain, erythema and fluctuant painful mass. What is
the treatment?
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IV antibiotics and myringotomy, peritonsillar abscess
followed by full course of oral
antibiotic deviation of the soft palate and