Blowout Fracture A fracture of the orbit Clinical Presentation “I got my face smashed in!” Ecchymosis Difficulty with vertical eye movement Diplopia Infraorbital anesthesia secondary to trauma to the infraorbital nerve Swelling Subconjunctival hemorrhage Labs, Studies and Physical Exam Findings X-ray – orbital floor fracture may show Teardrop sign. This is herniated orbital contents. Get […]

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Neuro-Ophthalmologic Disorders Nystagmus An involuntary rhythmic eye movement Patient is usually unaware that it’s happening, but may have blurred vision Causes Congenital neurological problem Trauma Stroke Multiple Sclerosis Inner ear inflammation Alcohol Sudden head movements Looking out a train window etc Clinical Presentation Dizziness/Vertigo N/V Involuntary rhythmic eye movement Up and down Side to side […]

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Blepharitis An infection of the eyelid Acute blepharitis is most commonly caused by Staph May be viral Seborrheic dermatitis or acne rosacea can also cause blepharitis Clinical Presentation Eyelid Loss of eyelashes Red Itchy Burning Scaly Swollen Labs and Studies Slit lamp Treatment Seborrheic dermatitis Clean off scales from Warm wet washcloth with a mild […]

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We start the eyeball today with conjunctivitis

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I discuss with Alana what happens after you fail your PANCE.

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Other Pulmonary Disease Acute Respiratory Distress Syndrome (ARDS) Severe inflammation of the lung tissue which impairs gas exchange secondary to acute injury secondary to pulmonary edema Without treatment 90% of patients will die Things associated with the onset of ARDS The majority of ARDS cases are seen in these settings Sepsis Severe trauma Aspiration of […]

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Lung Cancer #1 cause of cancer related deaths 85% of cases are associated with smoking Multiple exposure and exposure to other toxins increases risk Five year survival rate is 15% Small Cell and Non Small Cell Complications SVC syndrome Compression of the vena cava Pancoast Tumor Tumor at the apex of lung causing shoulder pain […]

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Influenza Influenza is an orthomyxovirus Most commonly seen during the fall and winter Incubation period of 18-72 hours Secondary diseases are a major concern Pneumonia Reye’s syndrome Children under 18 Biggest risk factors are having the Flu or Varicella and being treated with aspirin 30% fatality rate Clinical Presentation Sudden onset of symptoms Fever/Chills Malaise […]

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Acute bronchitis Infection of the large bronchi Most often caused by a virus RSV Rhinovirus Influenza 5-10% are bacterial Usually follows a URI Clinical Presentation Shortness of breath Cough can last for more than three weeks Wheezing Fever Labs, Studies and Physical Exam Findings Prolonged expiration Wheezing or rhonchi X-ray showing hyperinflation of the lungs […]

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Pneumonia Community Acquired Pneumonia From oxford dictionary – Lung inflammation caused by bacterial or viral infection, in which the air sacs fill with pus and may become solid. Inflammation may affect both lungs ( double pneumonia ), one lung ( single pneumonia ), or only certain lobes ( lobar pneumonia ). Causes include Streptococcus pneumoniae […]

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