Chamberlain ACAGNP NR569 Diff Dx. Final Exam –
Accurate Solutions For Every Question
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Terms in this set (94)
4 types of conjunctivitis Allergic
Bacterial
Toxic
Viral
Allergic Conjunctivitis Inflammation of the conjunctiva due to a reaction
from allergies.
S/S: itching of the eyes
Characterized: red eyes, accompanied by sneezing
Bacterial conjunctivitis pinkeye; very contagious, 2nd most common form.
purulent or mucopurulent discharge in one or both
the eyes.
S/S: red and itchy eyes
,Toxic Conjunctivitis typically develops following administration of a
medication or direct contact with a corrosive or
noxious chemical.
Viral conjunctivitis adenovirus; highly contagious**
swimming pools - epidemic keratoconjunctivitis
*erythema, copious watery discharge
tx: eye lavage with normal saline BID x7-14
days/vasoconstrictor-antihistamine drops
Primary Otalgia Caused by a problem directly associated to the ear,
such as w/ an ear infection, swimmer's ear, trauma, XS
cerumen
Referred otalgia originates in another anatomic structure such as in
the mouth, throat, or neck
Acute Otitis Media (AOM) an infection of the middle ear space. Most common
in kids <8 yo
cause of acute otitis media Often secondary to viral URI w/eustachian tube
dysfunction
Most common bacterial agent: Streptococcus
pneumoniae
, symptoms of acute otitis media unilateral otalgia (ear pain), pulling & tugging at the
ears, irritability, headache, restlessness, poor feeding,
anorexia, vomiting, or diarrhea, ears feel full, low
grade fever.
PE: tympanic membrane inflamed (erythema) and
bulging, decreased light reflex, decreased mobility
on insufflation.
How is acute otitis media diagnosed? clinical presentation
objective findings on physical exam (otoscopy)
combined with the patient's history and presenting
signs and symptoms
Management of acute otitis media -the goal of treatment is to control pain and to treat
the infectious process with antibiotics
-Adults with AOM should be treated with antibiotics:
first line agent is amoxicillin/clavulanate
-Recurrent cases that do not resolve despite
treatment may need referral to otolaryngologist
first line treatment for acute otitis amoxicillin 875 mg with clavulanate 125 mg orally
media twice daily.
mild to moderate: five to seven days
severe: 10 days
otitis media with effusion presence of fluid in the middle ear without symptoms
of acute infection.
As fluid builds up in the middle ear and Eustachian
tube, it places pressure on the tympanic membrane
precipitating factors of otitis media w/ URI
effusion
Accurate Solutions For Every Question
Save Groups
Terms in this set (94)
4 types of conjunctivitis Allergic
Bacterial
Toxic
Viral
Allergic Conjunctivitis Inflammation of the conjunctiva due to a reaction
from allergies.
S/S: itching of the eyes
Characterized: red eyes, accompanied by sneezing
Bacterial conjunctivitis pinkeye; very contagious, 2nd most common form.
purulent or mucopurulent discharge in one or both
the eyes.
S/S: red and itchy eyes
,Toxic Conjunctivitis typically develops following administration of a
medication or direct contact with a corrosive or
noxious chemical.
Viral conjunctivitis adenovirus; highly contagious**
swimming pools - epidemic keratoconjunctivitis
*erythema, copious watery discharge
tx: eye lavage with normal saline BID x7-14
days/vasoconstrictor-antihistamine drops
Primary Otalgia Caused by a problem directly associated to the ear,
such as w/ an ear infection, swimmer's ear, trauma, XS
cerumen
Referred otalgia originates in another anatomic structure such as in
the mouth, throat, or neck
Acute Otitis Media (AOM) an infection of the middle ear space. Most common
in kids <8 yo
cause of acute otitis media Often secondary to viral URI w/eustachian tube
dysfunction
Most common bacterial agent: Streptococcus
pneumoniae
, symptoms of acute otitis media unilateral otalgia (ear pain), pulling & tugging at the
ears, irritability, headache, restlessness, poor feeding,
anorexia, vomiting, or diarrhea, ears feel full, low
grade fever.
PE: tympanic membrane inflamed (erythema) and
bulging, decreased light reflex, decreased mobility
on insufflation.
How is acute otitis media diagnosed? clinical presentation
objective findings on physical exam (otoscopy)
combined with the patient's history and presenting
signs and symptoms
Management of acute otitis media -the goal of treatment is to control pain and to treat
the infectious process with antibiotics
-Adults with AOM should be treated with antibiotics:
first line agent is amoxicillin/clavulanate
-Recurrent cases that do not resolve despite
treatment may need referral to otolaryngologist
first line treatment for acute otitis amoxicillin 875 mg with clavulanate 125 mg orally
media twice daily.
mild to moderate: five to seven days
severe: 10 days
otitis media with effusion presence of fluid in the middle ear without symptoms
of acute infection.
As fluid builds up in the middle ear and Eustachian
tube, it places pressure on the tympanic membrane
precipitating factors of otitis media w/ URI
effusion
