PD EENT Kahoot

6 year old white glow r eye in recent photos, no pain or trauma. 20/100 in one eye. Fundoscopic normal, the right is abnormal. Next?

Order emergent ophthalmology referral

(worried about retinoblastoma)

2 yo M irritability, fever, pulling on R ear, recent URI, exam shows bulging, erythematous ™ w decrease mobility. Dx?

OM

Hoagland sign =

mononucleosis

DM pt with microvascular ischemia has paralysis of CN III, what would you find on inspection of eye?

Lateral deviation of eye

Ludwig’s angina =

submandibular cellulitis

Argyll roberson pupils cause =

neurosyphilis

Retinas detach after birth = what exam finding?

Dulling of red reflex

Strep rapid vs. culture for strep pharyngitis

False negatives are high with strep rapid test -> glomerulonephritis, rheumatic fever, if you have the option ,always do a culture

24 yo M hearing loss R ear 1 ear, foul smelling dc and dizziness. Recurrent OM as a child. Keratin on ™. Dx?

Cholesteatomas

19 yo student with sx of mono. What next?

monospot (dx)

Pterygium vs. pinguecula

Pterygium causes visual symptoms

no teeth/poor dentition is a RF for

angular cheilitis

pterygium descripton

non-cancerous, fleshy, triangular growth of the conjunctiva that extends onto the cornea, often caused by excessive UV exposure, wind, and dust

pterygium symptoms

redness, irritation, grit, and blurred vision

What abnormality on fundoscopic exam is most emergent?

Papilledema

hordeolum is caused by?

bacteria

otitis externa sx

Tenderness to palpation of auricle

Blood in ear

Sensation of ear fullness

NO LOSS of landmarks on ™

Otitis media lymph nodes would be found*

Anterior cervical chain

posterior cervical chain lymph nodes, you are worried about*

mono

issues with parietal/occipital scalp

Will your TM in eustachian tube dysfunction be bulging?

no!

What is the most common complication that can lead to mastoiditis?

OM

Inflamed meibomian glands =

posterior blepharitis

Fever, painful swelling ,diplopia, sx after sinusitis, pain with EOM. what imaging best?

CT scan of orbit (orbital cellulitis)

Pre-auricular lymph node drains

Temporal scalp

Ear canal

Conjunctivity

what lymph node drains parietal scalp

post auricle

epilglottis swelling

you don’t see it on the outside

(whereas ludwig’s angina you do!)

Anterior cervical lymph nodes drain

superficial anterior neck, larynx, trachea, thyroid gland, and hypopharynx.