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Exam (elaborations)

AHN 577 Test 1 Guide With Complete Solution

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  • Course
  • AHN 577
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  • AHN 577

AHN 577 Test 1 Guide With Complete Solution...

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  • September 24, 2024
  • 74
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AHN 577
  • AHN 577
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AHN 577 Test 1 Guide With
Complete Solution

Viral Conjunctivitis SSX - ANSWER Usually bilateral

Copious watery discharge

Foreign body sensation

Follicular conjunctivitis

Viral Conjunctivitis TX - ANSWER IF HSV infection: Topical Ganciclovir gel or
oral Acyclovir

Cold compresses/Symptomatic care

Sulfonamides - prevent secondary infection

Allergic Conjunctivitis - ANSWER Itching, increased tearing, redness

Stringy discharge

Possible photophobia and visual loss

Allergic Conjunctivitis TX - ANSWER OTC: Naphazoline drops

Antihistamines - H1 receptor antagonists

- Ketotifen

- Loratadine

- Fecofenadine

,- Cetrizine

NSAIDS

Bacterial Conjunctivitis SSX - ANSWER No blurred vision

Purulent discharge

Mild discomfort

Bacterial conjunctivitis TX - ANSWER Gentamycin drops while awake

Neomycin drops

Polymxin ointment

Sulfacetamide Na or Ofloxin

Cipro and Levofloxacin

Chlamydia Conjunctivitis SSX - ANSWER #1 cause of blindness

Copious amounts of purulent discharge

Conjunctivitis general SSX - ANSWER Itching, burning

Redness, increased tears

Blurred vision, Foreign body sensation

Swelling of eyelid (Chemosis)

? Crusty sticky mucopurulent discharge on lids

Otitis Externa SSX (Swimmers Ear) - ANSWER Pain (otalgia) increase w/
manipulation of tragus or pinna

Decreased hearing or sense of fullness in ear

,Fever, lymphadenitis, itching

Canal/outer ear edema or exudate

Otorrhea: Purulent

TM normal, erythematous or dull

Otitis Externa Tx - ANSWER Gentle suction/removal of debris

Drops

- Polymyxin B/Neomycin/HC (Cortisporin Otic)

- Cipro HC Otics

Cotton gauze if severe edema (remove 2-3 days after insertion)

Warm compresses to outer ear

- Cipro PO per culture

- Aminoglycoside and anti-inflammatories

Corticosteroid (Medrol Dosepak) for edema and pain

Analgesics: Tylenol, NSAIDS, Opioids (Lortab)

50/50 Rubbing alcohol and white vinegar to affected ear as preventative

F/U in 1 week

Otitis Media SSX - ANSWER Throbbing pain (Otalgia)

Hearing loss - conductive

Vertigo w/ N/V

Otorrhea: pulsatile

, TM: retracted, opaque, and dull w/ decreased movement

Bony landmarks obscurred

Occasional bullae

Otitis Media TX - ANSWER Amoxicillin

PCN allergy: TMP/SMX (Bactrim) or Azithromycin

Cefdinir, Cefuroxime, or Cefpodoxime

W/ perforation: Cortisporin Otic drops

Analgesics for pain - NSAIDS

Serous Otitis Media SSX - ANSWER Hearing loss, sense of fullness

Popping Sounds w/ pressure

Air bubbles posterior to TM

Severe pain w/ sudden relief and immediate release of fluid (Tympanic
membrane rupture)

TM: Red, dull and bulging w/ pressure sensation in ear and decreased
mobility

Changes in Rinne/Weber test = Conductive hearing loss.

When to refer patient to ENT for Otitis media - ANSWER If recurrent: 3-4x in
6 months; > 3 months bilat, or > 6 months unilat, or if tympanic membrane
perforated, hearing loss of 20 dB or more following TX.

Serous Otitis media TX - ANSWER Oral Decongestants

Cholesteatoma (Chronic Otitis media) SSX - ANSWER Hearing loss

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