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ENT & Ophtho
Question | Answer |
---|---|
White pupil in a baby | Retinoblastoma |
Patient with sudden severe headache and reports seeing halos. Physical exam reveals mid-dilated pupil that does not react to light. What is the management? | administer systemic carbonic anhydrase inhibitors (Diamox) and topical beta-blockers with immediate consult to ophthalmologist |
Patient with hot, red, swollen eyelid with dilated and fixed pupil. Management? | 1. Orbital cellulitis 2. emergency CT scan and drainage |
Patient reports seeing sudden flashes of light and having "floaters" in the eye | retinal detachment |
What is the management in a patient with suspected embolic occlusion of the retinal artery? | vasodilate and shake the clot into a more distal location but having patient breath into a paper bag and repeatedly pressing on the eye |
1. Facial nerve paralysis of gradual onset 2. Facial nerve paralysis of sudden onset. | 1. facial nerve tumor 2. Bell palsy |
Most common tumor found at the angle of the mandible | Pleomorphic adenoma |
Which organ system is likely involved: 1. Dizziness in which the patient feels the room spinning 2. Patient is unstead on their feet but room in stable | 1. inner ear 2. brain |
Patient with long history of diabetes develops "floaters" in their vision. | Vitreous hemorrhage |
Patient with recent cataract removal presents with sudden onset of blurry vision and floaters. | retinal detachment |
Sudden, painless, loss of vision. Pale retina and cherry-red spot at the fovea on fundoscopic examination. | Central retinal artery occlusion |
Sudden, painless, loss of vision. Disk swelling, venous dilation and retinal hemorrhages in fundoscopic examination. | Central retinal vein occlusion |
1. Blood collection in sclera after trauma 2. What is the management | 1. subconjunctival hemorrhage 2. no therapy necessary |
1. Painful eye. Pain occurs when shining light into the unaffected eye. 2. Treatment | 1. uveitis; consensual light reflex constricts contralateral eye 2. topical or systemic steroids |