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EM Clerkship

NBME Shelf Review (Part 5) – Ophthalmology and Toxicology

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 28 October 2018

⏱️ 16 minutes

🧾️ Download transcript

Summary

Corneal Abrasion Stain the eye with fluorescein and use woods lamp Look for fixed staining (“uptake”) on the cornea Acute Angle Closure Glaucoma Symptoms Eye Pain Headache Check for intraocular pressure greater than 20 Commonly precipitants OTC cough/cold medicine (anticholinergic effect) Dark environment (such as movie theater) Treatment Timolol Pilocarpine Acetazolamide Apraclonidine Giant Cell Arteritis […]

Transcript

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0:00.0

Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of

0:07.1

endless charting once you become a doctor? Do you think that doctors should be spending more

0:11.9

time with our patients and less time mindlessly writing notes? Freed AI is the product for you. It is a

0:20.4

secure, hippocompliant scribe that anybody can use.

0:24.7

Focus your energy on what matters, providing good patient care.

0:29.5

Use coupon code EM50 to save 50% the first month you try it,

0:34.1

and you can cancel at any time if you decide it's not right for you. You can learn more at

0:39.3

www.gitfreed.a.i. Hey guys, what's going on? This is Mike Estefan from the University of

0:49.1

Rochester School of Medicine, bringing you episode five of the Emergency Medicine shelf exam review series.

0:56.4

In this week's episode, and probably next week's episode, we are going to focus on diagnostics

1:02.0

and therapeutics for conditions that you will see on your shelf exam. The content for this week

1:07.7

will focus on ophthalmology, toxidrums, and ingestions.

1:13.0

My goal for the next couple episodes is going to be to cover as much content as possible

1:17.6

in the shortest amount of time as possible.

1:20.7

This means less vignettes for you guys and more of a rapid-fire question-answer kind of style.

1:26.6

I also want to apologize in advance for the sound quality of this recording.

1:31.3

It is currently downpouring in Rochester, New York, and so you guys will probably hear the storm

1:36.1

intermittently throughout this podcast.

1:39.1

All right, let's talk about some ophthalmology.

1:42.2

So in the ED, how do you diagnose a corneal abrasion?

1:47.2

Good.

1:49.2

So you stay in the eye with fluorescine and then you examine the eye using a wood's lamp.

...

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