Endophthalmitis Definition: Inflammation, usually from an infection, within the anterior and posterior segments of the eye.4 Symptoms/Signs:2,5 Symptoms include blurry vision (93%), eye pain (75%), lid swelling (33%), and conjunctival injection (81%) **Typically there is no fever or leukocytosis for Endophthalmitis alone** Anterior Segment: Inflammation of aqueous humor. Look for Read more…
It’s another long night in pod A, but luckily there is a break in the unending stream of patients. You head to your favorite green delicatessen and feeling adventurous, you pick up a bag of sour candy. So sour! Your brain instantly flashes back to the last time you prescribed sour candy as your memory-sensory axonal connections are triggered. The image of that 45 year-old man with 5 days of recurrent pain in the lower right of the mouth that was worse with eating is as clear as day. Who knew candy can be medicine? (more…)
Welcome back. We’re going to continue reviewing common eye complaints. This time we’ll focus on the conjunctiva. Let’s quickly review. The conjunctiva is a thin, clear lining that covers the anterior portion of the eyes and eyelids. References: Walker, Richard A., and Srikar Adhikari. “Chapter 236. Read more…
During a slow night in Fast Track, you decide to rewatch all 6 seasons of Dawson’s Creek. You start to tear up all over again when Joey chooses Pacey over Dawson. It’s just not fair! As you reach over for your snuggie and a box of tissues, you realize Read more…
A young child presents to your ED after falling off his swing and landing directly on his forehead. He’s going to need some stitches. Unfortunately, he just doesn’t want to cooperate, is not at all entertained by your Dora the Explorer stickers, and the tearful parents are refusing to assist Read more…
A 19 year-old patient presents to your ED with a nosebleed. His friend states they were in the bleacher seats of an anime convention when he became so aroused that his nose just started gushing blood. He’s been bleeding for about 30 minutes despite holding pressure on his nose. Vitals are normal. When Read more…
What is it? Grossly visible blood in the anterior chamber of the eye Microhyphema: dispersed red blood cells in the anterior chamber Why does it occur? Bleeding results from tears in the vessels of the ciliary body or iris Bleeding usually stops quickly due to increased intraocular pressure, vessel spasm, Read more…
Thank you Dr. Joyce Wang for today’s Morning Report. Globe Rupture Occurs when a blunt object impacts the orbit Ruptures are commonly at the site where sclera is thinnest – insertion of the extraocular muscles or at the limbus History Type of object Time of injury Contact lenses? Prior history Read more…
Thanks to Dr. Wang for today’s Morning Report! Globe Rupture Occurs when a blunt object impacts the orbit Ruptures are commonly at the site where sclera is thinnest – insertion of the extraocular muscles or at the limbus History Type of object Time of injury Contact lenses? Prior history Read more…
Deep Space Neck Infections! Anatomy Image from: http://www.uptodate.com/contents/image?imageKey=PEDS%2F74998&topicKey=ID%2F3415&rank=1~17&source=see_link&search=deep+neck+infection&utdPopup=true Types Peritonsillar space (abcess) Parotid space Submandibular space (Ludwig’s angina) Pretracheal space Prevertebral space Parapharyngeal space Retropharyngeal & danger space History & Physical Exam Findings – Dysphagia Read more…