CMS Final: Ophtho & ENT meds only

bacterial conjunctivitis (gonorrhoea)

Ceftriaxone IM + Doxycycline PO + Bacitracin ointment (BCD)

-PCN allergy = Azithromycin & Cipro

contact lens conjunctivitis

ciprofloxacin solution

fungal conjunctivitis

natamycin 5%

allergic conjunctivitis (& vernal keratoconjunctivitis)

cromolyn sodium 4%

herpetic zoster opthalmicus

acyclovir IV or famciclovir

herpetic viral conjunctivitis

trifluridine 1% solution (viroptic)

bacterial conjunctivitis

erythromycin ointment

corneal abrasion

erythromycin ointment

corneal ulcer

levofloxacin solution

anterior blepharitis

1st line = warm compresses
2nd line = erythromycin

posterior blepharitis

1st line = warm compresses
2nd line = erythromycin ointment

ectropion

artificial tears

hordeolum

topical abx are 2nd line after drainage promoting measures = erythromycin, bacitracin, sulfacetamide sodium

optic neuritis

IV methylprednisolone x 3 days then tapered PO

anterior periorbital cellulitis

-augmentin +/- bactrim or
-clindamycin

Posterior Orbital Cellulitis

-Vancomycin + Ceftriaxone or

-Clindamycin inpatient, discharged on:

-Clindamycin or Bactrim + Augmentin

chronic open-angle glaucoma (& closed angle)

timolol solution

scleritis

-NSAIDs - indomethacin
-glucocorticoids - prednisone

Age-related macular degeneration

-Vit C & E, Zn & Cu, Lutein & Zeaxanthin
-Ranibizumab shots

Orbital blowout fracture

Augmentin or Azithromycin

foreign body in eye

erythromycin & tetanus shot

oral lichen planus

corticosteroids

oral candidiasis

nystatin suspension or clotrimazole lozenges
-2nd line = oral fluconazole

dental abscess

Pen V K or Clindamycin

-2nd line = Augmentin or Azithromycin

necrotizing ulcerative gingivitis

penicillin, peridex, viscous lidocaine

herpetic stomatitis

acyclovir PO

acute pharyngitis (GABHS)

PCN IM (Bicillin), oral PCN or amoxicillin

-ceftriaxone, cephalexin, azithromycin, clindamycin

epiglottitis

-IV 3rd gen cephalosporins (Ceftriaxone)
-corticosteroids

Ludwig's angina

IV PCN, metronidazole, cephalosporins or
-Vancomycin, clindamycin
-less severe = augmentin PO

perichondritis

fluoroquinolones

relapsing polychondritis

systemic corticosteroids

otitis externa

-ciprofloxacin/dexamethasone (ciprodex)
-ofloxacin otic
-cortisporin (not for TM perf)

otitis externa - fungal

clotrimazole 1% solution, acetic acid 2%

malignant otitis externa

ciprofloxacin

eustachian tube dysfunction

decongestants, antihistamines, nasal steroid sprays

acute otitis media

amoxicillin --> augmentin

-PCN allergy = azithromycin

bullous myringitis

abx same as AOM (Amox) + analgesics

mastoiditis

IV Ceftriaxone

ramsey hunt

-anti-virals = acyclovir
-corticosteroids
-anti-anxiety = diazepam
-analgesics = narcotics

meniere's disease

meclizine, scopolamine, zofran (for N/V)

acute bacterial rhinosinusitis

Augmentin

-PCN allergy = azithro, doxy, or FQs

rhinitis medicamentosa

steroids

nasal polyps

steroids --> excision

epistaxis

topical nasal decongestants (phenylephrine) = vasoconstrictors (+ direct pressure)

vestibulitis

mupirocin + systemic abx (doxy or bactrim)

sleep apnea

CPAP/BIPAP