click below
click below
Normal Size Small Size show me how
Eyes/Ears
Symptoms | Disease | How to diagnose | How to treat |
---|---|---|---|
Visual deficits, squinting, headaches, frequent eye rubbing | Refractive errors (hyperopia - farsightedness, presbyopia - farsighted bc age, myopia - nearsighted, astigmatism) | Visual acuity, exam | Prescription, lenses, LAS |
Continuous horizontal, vertical, circular eye movements. Blurred vision | Nystagmus | CT, MRI | Treat underlying cause |
Pain, tenderness, redness at infection site (outside of eye). Caused by staph | Hordeolum (stye) | Exam | Warm compress, antibiotic drops, incision/drainage |
Pain, redness, tearing on eye | Corneal Abrasion | History/exam, fluorescein stain, black light exam | Remove any foreign bodies, topical anesthetic/antibiotic |
Gradual loss/blurring of vision. Faded colors, halos around lights. Painless | Cataract | Visual acuity test. Ophthalmoscopic exam of the eye | Surgery/lenses |
Mild aching pain, visual disturbances, halos around lights, noticeable loss of peripheral vision. | Glaucoma | Tonometers to measure eye pressure. Visual acuity | Eye drops, laser surgery, microsurgery to lower eye pressure |
Seeing cobwebs, floating spots, flashes of light, sensation of shade coming across the eye. Progressive loss of vision. Painless. EMERGENT | Retinal detachment | Ophthalmoscopic exam | Laser surgery, cryopexy |
Mild to severe visual loss, distortion. Gradual loss of central/sharp vision | Macular Degeneration | Eye exam, amsler chart/grid to detect small changes in vision. | Laser therapy may delay onset of blindness |
Double/blurred vision. One eye wanders | Strabismus | History, complete ophthalmoscopic exam. Corneal light-reflex test | Depends on cause. Eye exercises, lenses, botulinum toxin injection, surgery |
Red, swollen conjunctivae. Itching, burning, pain. Discharge in one or both eyes, excessive tearing, light sensitive | Conjunctivitis (pink eye) | History/exam | Treat cause. Antibiotics, warm compress 3-4x a day. |
Pain. Intense photophobia, blurred vision, redness, dark floating spots in vision. Nonreactive pupil | Uveitis | Ophthalmic exam, slit-lamp exam | Prompt/vigorous treatment. Dark glasses, eye drops to dilate pupil/relieve pain, steroid eye drops/ointment. |
Burning/itching eyelid, red-rimmed eyelids. Dry, oily scales on eyelid margins | Blepharitis | History/exam | Keep lids clean, wipe away crusts. Warm compress. Wash with baby shampoo. |
\Irritation, tearing, photophobia. Redness, mucopurulent discharge | Keratitis | Slit-lamp, fluorescein staining | Eye drops/ointment depending on cause. May require an eye patch. |
Pain, itching, red, swollen ear canal. Purulent, foul-smelling drainage from ear canal | External otitis (swimmer's ear) | History/exam. Bacterial culture | Antibiotics/analgesics. Hygiene, heat compress. |
Fullness/pressure in affected ear, hearing impairment, pain, fever, chills, dizziness, irritability, fussiness. Perforated tympanic membrane. | Otitis Media | Otoscopic exam or ear canal and tympanic membrane. May see fluid bubbles, bulging, red discoloration | Antibiotics (amoxicillin). Tubes for chronic infections. |
Gradual hearing loss of low tones/soft sounds. May turn head to hear better | Otosclerosis | Hearing tests, Rinne and Weber test | Hearing aids. Stapedectomy and prosthesis inserted. |
Loss of equilibrium, nausea, vomiting, dizziness, headache, anorexia. | Motion sickness | History/exam | Antihistamines, antiemetics, desatives. Medicated patch. Ginger tea/slices/capsules |
Vertigo, tinnitus, hearing loss | Meniere's Disease | Audiometry, MRI | Salt-free diet, diuretics, antihistamines, mild sedatives. Surgery can remove inner ear sense organ. |
Difficulty hearing/tinnitus. Varies in severity | Hearing loss/Deafness | History, exam, Weber and Rinne tests, CT, MRI, audiometry. Determine the cause of impairment | Hearing aids, surgery, cochlear implants |