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The Red Eye ENT, Condition - Coggle Diagram

- - - - Proparacaine
        
        Topical anaesthetic
        
        15 minute duration
        
        DO NOT DISPENSE
      - Fluorescein Stain
        
        Diagnose abrasions
        
        Diagnose Keratitis
        
        Stains site of damage on basement membrane
      - Woods Lamp
        
        UV light; fluoresces various diagnostic items
      - Slit Lamp
        
        Magnifier
      - Tonopen
        
        Pressure measurer
    - - Viual acquity
        
        Snellen Chart
        Individual eyes or bilateral
      - Direct ophthalmoscopy
        
        Macula, funda, optic disk
    - - Pupillary response
      - Extraocular movements
        
        Nystagmus
      - "buzz words"
        Define them
        
        Scleral Icterus
        
        Conjunctival Pallor
        
        Proptosis or Exopthalmos
        
        Ptosis
        
        Aniscoria
  - - - Sclera
    - - Conjunctiva
  - - - OPQRST
      - Environmental or ccupational exposures
      - Medication changes
      - Drops, OTC treatments
- - - - Viral Conjunctivitis
        
        Pathophysiology
        
        Complications
        
        Pathogen/Pathology
        
        Adenovirus
        
        Transmission/Risk
        
        Highly contagious
        
        Symptoms
        
        Bilateral copious watery discharge
        
        Associated with URI symptoms
        
        System/Description
        
        Inflammation of conjunctiva
        as a result of viral infection
        
        Prevention
        
        Hygiene, touching face
        
        Diagnosis
        
        PE
        
        preauricular lymphadenopathy
        
        Imaging
        
        Lab Tests
        
        History
        
        Treatment
      - Bacterial Conjunctivitis
        
        Pathophysiology
        
        Complications
        
        Potentially serious infection,
        depending on organism
        
        Pathogen/Pathology
        
        Staph, Strep, S. pneumoniae
        
        Haemophilus, Pseudomonas
        
        Neisseria (gonorrhea, meningitidis)
        
        Transmission/Risk
        
        Symptoms
        
        Redness, irritation, discharge
        
        adhesion of eyelids
        
        System/Description
        
        Prevention
        
        Handwashing
        
        Diagnosis
        
        PE
        
        Imaging
        
        Lab Tests
        
        History
        
        Treatment
        
        ABX
        
        Polymyxin B/Trimethoprim
        
        Erythromycin
        
        IM Ceftriaxone if gonococcal
      - Allergic Conjunctivitis
        
        Pathophysiology
        
        Complications
        
        Pathogen/Pathology
        
        Transmission/Risk
        
        Symptoms
        
        INTENSE itching
        
        excessive Clear tearing
        
        System/Description
        
        benign seasonal inflammatory disorder
        
        Prevention
        
        Diagnosis
        
        PE
        
        Redness, edema
        
        Chemosis
        
        Imaging
        
        Lab Tests
        
        History
        
        allergies (ocular or otherwise)
        
        Treatment
      - Subconjunctival
        Hemorrhage
        
        Pathophysiology
        
        Complications
        
        Pathogen/Pathology
        
        Transmission/Risk
        
        Symptoms
        
        System/Description
        
        Prevention
        
        Diagnosis
        
        PE
        
        Imaging
        
        Lab Tests
        
        History
        
        Treatment
      - Keratoconjunctivitis Sicca
        AKA dry eye disease
        
        Pathophysiology
        
        Complications
        
        Pathogen/Pathology
        
        Transmission/Risk
        
        loss of aqueous tear film
        
        Aging or systemic disorders
        
        Medication side effect
        
        Environmental factors
        
        Symptoms
        
        Dryness, redness, foreign body
        
        blurred vision
        
        System/Description
        
        Prevention
        
        Hydration
        
        Diagnosis
        
        PE
        
        Hyperemia
        
        Mucoid discharge
        
        Imaging
        
        Lab Tests
        
        History
        
        Treatment
        
        Artificial Tears
        
        Ocular lubricants
        
        Cyclosporine
    - - Hordeolum
        
        Pathophysiology
        
        Complications
        
        Pathogen/Pathology
        
        Infected sebaceous gland; caused by Staph
        
        Transmission/Risk
        
        Symptoms
        
        Foreign body sensation
        
        Painful pustule
        
        System/Description
        
        Acute infectious nodule or
        pustule of an eyelid gland
        
        Prevention
        
        Diagnosis
        
        PE
        
        Pustule, erythema
        
        Imaging
        
        Lab Tests
        
        History
        
        Treatment
        
        Procedural
        
        Warm compress
        
        I & D
        
        Topical ABX/ointment
        
        Fluoroquinolones
        
        Polymyxin B/Trimethprim
        
        Erythromycin
      - Chalazion
        
        Pathophysiology
        
        Complications
        
        Pathogen/Pathology
        
        Non-infective, chronic inflammation
        
        Transmission/Risk
        
        Symptoms
        
        PainLESS
        
        System/Description
        
        Prevention
        
        Diagnosis
        
        PE
        
        Imaging
        
        Lab Tests
        
        History
        
        Treatment
      - Blepharitis
        
        Pathophysiology
        
        Complications
        
        Pathogen/Pathology
        
        Anterior - Lid, lashes, superficial glands
        
        Staph
        
        seborrheic gland
        
        Posterior - meibomian gland
        
        Staph infection
        
        Gland dysfunction
        
        Transmission/Risk
        
        Symptoms
        
        Irritation, burning, foreign body
        
        Excessive tearing
        
        System/Description
        
        Bilateral inflammatory condition
        of the lid margin
        
        Prevention
        
        Diagnosis
        
        PE
        
        "red-rimmed" eyes
        
        Telangiectasia
        
        Gland dilation
        
        Imaging
        
        Lab Tests
        
        History
        
        Treatment
        
        Anterior
        
        Warm compress
        
        Hygiene
        
        Abx (erythromycin, polymixin B)
        
        Posterior
        
        Warm compress
        
        Long-term, low-dose ABX
      - Entropion/Ectropion
        
        Pathophysiology
        
        Complications
        
        Pathogen/Pathology
        
        Transmission/Risk
        
        Symptoms
        
        System/Description
        
        Prevention
        
        Diagnosis
        
        PE
        
        Imaging
        
        Lab Tests
        
        History
        
        Treatment
      - Xanthelasma
        
        Pathophysiology
        
        Complications
        
        Pathogen/Pathology
        
        Transmission/Risk
        
        Symptoms
        
        System/Description
        
        Prevention
        
        Diagnosis
        
        PE
        
        Imaging
        
        Lab Tests
        
        History
        
        Treatment
      - Dacryocystitis
        
        Pathophysiology
        
        Complications
        
        Pathogen/Pathology
        
        Transmission/Risk
        
        Symptoms
        
        System/Description
        
        Prevention
        
        Diagnosis
        
        PE
        
        Imaging
        
        Lab Tests
        
        History
        
        Treatment
      - Dacryoadenitis
        
        Pathophysiology
        
        Complications
        
        Pathogen/Pathology
        
        Transmission/Risk
        
        Symptoms
        
        System/Description
        
        Prevention
        
        Diagnosis
        
        PE
        
        Imaging
        
        Lab Tests
        
        History
        
        Treatment
- - - - Bacterial Keratitis
        
        Pathophysiology
        
        Complications
        
        Pathogen/Pathology
        
        Psuedomonas
        
        Transmission/Risk
        
        Symptoms
        
        System/Description
        
        Prevention
        
        Diagnosis
        
        PE
        
        Imaging
        
        Lab Tests
        
        History
        
        Treatment
        
        ABX
        
        Fluoroquinolone (ofloxacin)
        
        Immediate opthamology referral
      - Herpes Simplex keratitis
        
        Pathophysiology
        
        Complications
        
        Pathogen/Pathology
        
        Transmission/Risk
        
        Symptoms
        
        System/Description
        
        Prevention
        
        Diagnosis
        
        PE
        
        Imaging
        
        Lab Tests
        
        History
        
        Treatment