Questions and Answers
What is a common cause of serous otitis media in adults?
Upper respiratory infection
What is a characteristic symptom of serous otitis media in children?
Tugging at ear
What is the recommended treatment for oral candidiasis in infants and neonates?
Nystatin
What is a risk factor for bacterial pharyngitis?
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What is a common characteristic of the presentation of bacterial pharyngitis in kids 4-7 years old?
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What is the recommended treatment duration for bacterial pharyngitis in adults?
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What is the characteristic symptom used in the Centor criteria for diagnosing bacterial pharyngitis?
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What is the definitive treatment for serous otitis media?
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What is a common symptom of acute bacterial rhinosinusitis?
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Which antibiotic is recommended for adults with acute bacterial rhinosinusitis?
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What is a risk factor for chronic bacterial rhinosinusitis?
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What is a common symptom of allergic rhinitis?
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What is a characteristic physical exam finding in allergic rhinitis?
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What is a potential prodrome of viral conjunctivitis?
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What should be checked in a patient with suspected conjunctivitis?
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What is a common cause of conjunctivitis in newborns?
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What is a common symptom of bacterial conjunctivitis in children?
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What is a characteristic symptom of vertigo?
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What is a common symptom of glaucoma?
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What is a common symptom of diabetic retinopathy?
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What is a characteristic symptom of otitis externa?
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What is a characteristic symptom of acute otitis media?
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What is a characteristic symptom of chronic suppurative otitis media?
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What is a common symptom of allergic conjunctivitis?
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What is a characteristic symptom of orbital cellulitis?
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What is a characteristic symptom of macular degeneration?
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What is a common symptom of malignant otitis externa?
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Study Notes
Eye and Ear Conditions Summary
- Bacterial conjunctivitis, commonly known as "pink eye," presents with unilateral symptoms in children, including a stuck shut eye in the morning and yellow or purulent discharge.
- Allergic conjunctivitis, often associated with seasonal hay fever, affects both eyes and can cause redness, itching, and watery eyes.
- Orbital cellulitis, primarily affecting pediatric patients, presents with pain on eye movement, ptosis, and fever, and requires prompt ophthalmologist referral and IV antibiotic therapy.
- Periorbital cellulitis, characterized by pain without eye movement, is typically treated with outpatient oral antibiotics such as amoxicillin-clavulanic acid.
- Vertigo, common in older women, is associated with lightheadedness, poor balance, and can be linked to alcohol use, aminoglycosides, or anticonvulsant medications.
- Glaucoma, including angle-closure and open-angle types, can present with symptoms such as blurred vision, red eye, and headache, and may require topical beta blockers or laser therapy.
- Diabetic retinopathy can cause floaters, blurry vision, and requires control of blood pressure, sugars, lipids, and may involve VEGF injections.
- Macular degeneration, particularly affecting older white females, can lead to gradual, progressive blurred central vision and may be managed with lifestyle changes, visual assist devices, and intraocular injections of VEGF antagonists.
- Otitis externa, commonly known as swimmer's ear, is characterized by erythema, edema, and pain in the outer ear canal, and treatment varies based on severity, including topical and oral fluoroquinolones.
- Malignant otitis externa, seen in diabetic or elderly patients, presents with disproportionate pain, granulation tissue, and may require IV ciprofloxacin or oral antibiotics.
- Acute otitis media, commonly occurring after a viral upper respiratory infection, presents with ear pain, decreased hearing, and fever, and may be treated with antibiotics based on clinical criteria.
- Chronic suppurative otitis media, characterized by TM perforation and purulent discharge, requires topical antibiotic drops and careful differentiation from acute otitis media or trauma.
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