PANCE HEENT Exam Questions and Answers All Correct

PANCE HEENT Exam Questions and Answers All Correct Your 21 year old patient is complaining of a feeling of a "foreign-body sensation" in their eye, but nothing is there. She wears contacts. What is the likely dx? (chalazion, corneal abrasion, hordeolum) - Answer-corneal abrasion This disorder of the eye presents with redness and irritation, fever, sore throat, cough and *decreased visual acuity*. What is the likely dx? conjunctivitis, uveitis, keratitis - Answer-keratitis (note the decreased visual acuity is not usu. present in conjunctivitis) What a serious consequence of untreated otitis media in the pediatric patient? (conjunctivitis, meningitis, mastoiditis, sepsis) - Answer-mastoiditis Usu. caused by minor trauma such as from a fingernail, contact lens, eyelash or foreign body. Patient will present with pain and sensation of a foreign body and it can be accompanied by photophobia, tearing, injection and blepharospam. - Answer-Corneal abrasion Patient presents w/ a corneal abrasion. What should you do before examining or treating? - Answer-record visual acuity Slit lamp examination of the eye reveals an epithelial defect but a clear cornea. What is the likely dx? - Answer-corneal abrasion What is the treatment for a corneal abrasion? - Answer-topical anesthetic will provice immediate relief, but will retard healing. -saline irrigation - antibiotic ointment (gentamicin) patch for no longer than 24hrs daily f/u Patient presens to your clinic with pain, photophobia an tearing. Examination reveals circumcorneal injection and watery to purulent discharge. Fluorescein staining will reveal a dense corneal infiltrate with overlying epithelial defect. Dx? (corneal abrasian, blehpariits, corneal ulcer) - Answer-Corneal ulcer How should you treat a corneal ulcer? - Answer-REFER TO OPTHALMOLOGIST stain lesion and culture Avoid this treatment in a corneal ulcer because they will cause further tissue loss and increase risk of perforation - Answer-topical steroids This disorder of the eye may be age related or secondary to the toxic effects of drugs such as chloroquine or phenothiazine.* It is the leading cause of irreversible central visual loss.* - Answer-Macular degeneration