- Virus:
- Hep A and B
- HPV
- influenza
- polio (subq)
- rabies
Bacteria:
- anthrax
- cholera
- diphteria
- Lyme
- meningococcus
- pertussis
- plague
,- pneumococcus
- tetanus
Immunization recommendation influenza
- all ages, all types (pregnant, diabetes, immunocompromised, etc)
Immunization recommendation pregnancy and weakened immune system
- 1 dose Tdap
- no varicella, zoster, MMR
HIV and vaccinations
- Give inactive agents when CD4 count is greater than 200 cells/ mm3
Health screening 18 - 45 years
- BMI
- BP (q2years)
- at age 20: fasting lipid profile: total cholesterol, LDL, HDL, triglycerides (cardiac testing if LDL
greater than 200 or HDL lower than 40)
- annual breast exam, females
- Pap-smear annually
Health screening 45 and up
- blood glucose q3years
- 50 and up: colorectal screening (digital exam annually, sigmoidscopy q5years, colonoscopy
q10yrs)
- PSA with digital exam annually for males
- mammography q1 -2 yrs
- women 65 and up: screen for osteoporosis
-Pink eyey
- Inflammation of conjuctiva (outer layer of eye)
Conjunctivitis: causes
- Chemical, bacterial, viral, allergic, herpetic. Adenovirus is the most common cause, but
bacteria (Haemophilus influenzae and Streptococcus pneumoniae) are also common causes in
children.
Conjunctivitis: findings
- redness
- itching
- discharge
- edema eyelid
- may find gonorrhea or chlamydia in eye discharge
Conjunctivitis: management
- cooling
- rule out corneal abrasion
- bacteria: antibiotic solution (gentamicin, neomycin)
- chlamydia: oral tetracycline or erythromycin
- gonorrhea: single dose ceftriaxone
- herpes: refer to opthalmologist
- ocular retinal disease due to DM
- DM, exac by smoking and HTN (macular edema)
- flashing lights in vision, blurred vision, black spots, loss of vision, sustained glucose greater
than 130
- Laser therapy for macular edema, smoking cessation, glucose control, BP control
- separation of retina and choroid
- trauma, intraocular mass, iris inflammation, cataract surgery, DM, sickle cell
- painless vision changes, blurred vision, light flashes, "curtain" over visual field, bullous
elevation without tears
- ophthalmologist for cryotherapy, laser therapy, vitrectomy. If from trauma: eye patch
Central & Branch Retinal Artery Occlusion: definition, cause, findings, treatment
- abrupt blockage of retinal artery causing sudden vision loss> will become permanent
without intervention
- thrombosis/ embolism, arteritis (migraine, older age, afib, DM, HTN, coagulopathies)
- sudden, painless vision loss, sluggish pupil, cherry-red spot at fovea
- EMERGENCY. Put pressure on eyelid, heparin, immediate consult opthalmolohgist. check
coagulopathies, check labs for artherosclerotic disease, blood cultures (endocarditis?),
Glaucoma: definition, cause, findings, treatment
- progressive visual loss, first peripherally then centrally: chronic open angle or actute closed
angle. Optic neuropathy.
- open: too much intraocular fluid production without removal. Secondary from trauma,
tumor, or cataracts. Causes: age, steroids, trauma, family history
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Bri254. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.