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connachtman
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abx for AOM
HD amoxicillin (3-4g), cephs or Bactrim, azithromycin ; tx failure GT 72h Augmentin or cephs
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home made ear drops to decr risk of swimmers ear
1 part vinegar to 2 parts rubbing alcohol
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what kind of glaucoma presents with acute painful eye and visual disturbance
angle-closure glaucoma ; an emergency
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what kind of glaucoma presents with gradual onset and no symptoms and is found on IOP exam
open angle glaucoma
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eye disorder that presents with painful red eye, visual change, constricted, irregular pupil that is nonreactive
anterior uveitis
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ethnic group at higher risk for angle closure glaucoma
African ancestry
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this glaucoma presents with gradual peripheral visual loss
open-angle glaucoma
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disk appearance in any type of glaucoma
pushed in, cupped or bulging with papilledema
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what is Meniere Disease?
idiopathic inner ear disease resulting in tinnitus, nystagmus, and vertigo
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how is Meniere Disease diagnosed?
diagnosis of exclusion
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nystagmus in Meniere Disease
towards affected ear and then corrects midline
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Weber test in Meniere Disease
lateralizes to affected ear
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Rinne test in Meniere Disease
Normal: air exceeds bone conduction
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Romberg test in Meniere Dz
positive
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what is the Fukuda stepping test and what is often result in Meniere Dz
high step in place for 1 min and note rotation ; in Meniere Dz rotate to affected ear
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topical abx for otitis externa
aminoglycoside, quinolone or neomycin ointment with or without hydrocortisone
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organisms in AOM
S. pneum. (gram+), H. infl., M. catarrhalis (both gram-)
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abx for AOM
HD amox, cephs
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organism in strep throat
S. pyogenes-group A beta-hemolytic strep, Mycoplasma pneum.
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serious sequelae of strep throat
peritonsillar abscess, rheumatic fever, pyelonephritis
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is H. influenzae a beta-lactamase producing bacteria that most pcn's are ineffective against
yes
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abx to use against H. influenzae and other beta-lactamase producing bacteria
Augmentin, ceph, or macrolide
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most common organism in ABRS
S. pneum. a gram+ organism ; then gram negatives H. infl. and M. catarrhalis
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abx for S. pneum ABRS
amox or doxy or azith
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abx for ABRS in pts with recent abx use
levo- or moxifloxacin
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vision loss in macular degeneration
central
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lifestyle risk factor for macular degeneration
smoking
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