Question

Case #2 A mother brings her 3-year-old child into your office. She states that her daughter has been crying for the past two days and she keeps tugging at her left ear. The child was term, and the delivery was without complications. She is up to date on her vaccinations and her growth, height, and weight are in the ninetieth percentile. The otologic is significant for a bulging, hyperemic tympanic membrane—AS. The tympanic membrane is dull but there was no evidence of rupture. What is the most likely diagnosis? Describe the pathogenesis of this condition. What is the treatment of choice? If the condition persists or increases in frequency, what surgical procedure may be performed to alleviate or minimize the disease? Case #3 A 49-year-old African American male presents to your clinic. He reports not seeing well. He is otherwise healthy, exercises daily, and has no medical condition or recent illness. He denies any family history of blindness. His vaccinations are all up to date. His visual acuity is 20/80 best corrected to 20/30 OU. Pupils are equal and reactive to light without afferent pupillary defect. Slit-lamp biomicroscopy is significant for early cataract. Intraocular pressure by applanation is 28 mmHg OD and 29 mmHg OS. Pachymetry is significant for 489 μm OD and 494 μm OS. The cup-to-disc ratio is 0.75 OU with thinning of both temporal rims, barring of the vessels, and pale nasal rims OU. The macula is flat; vessels and vitreous are within normal limits. Gonioscopy is unremarkable. What is the most likely diagnosis? What is the pathogenesis of this disease? What is the next test you would order for this patient? Give the definition for this condition. If untreated, this condition can lead to _________________________________________. What are the three treatment options for this condition? List the different classes of topical medications used to treat this condition and their mechanisms of action. List the two surgical procedures performed to control this condition.

          Case #2
A mother brings her 3-year-old child into your office. She
states that her daughter has been crying for the past two days and
she keeps tugging at her left ear. The child was term, and the
delivery was without complications. She is up to date on her
vaccinations and her growth, height, and weight are in the
ninetieth percentile. The otologic is significant for a
bulging, hyperemic tympanic membrane—AS. The tympanic membrane is
dull but there was no evidence of rupture.
What is the most likely diagnosis?
Describe the pathogenesis of this condition.
What is the treatment of choice?
If the condition persists or increases in frequency, what
surgical procedure may be performed to alleviate or minimize the
disease?
Case #3
A 49-year-old African American male presents to your clinic. He
reports not seeing well. He is otherwise healthy, exercises daily,
and has no medical condition or recent illness. He denies any
family history of blindness. His vaccinations are all up to date.
His visual acuity is 20/80 best corrected to 20/30 OU. Pupils are
equal and reactive to light without afferent pupillary defect.
Slit-lamp biomicroscopy is significant for early cataract.
Intraocular pressure by applanation is 28 mmHg OD and 29 mmHg OS.
Pachymetry is significant for 489 μm OD and 494 μm OS. The
cup-to-disc ratio is 0.75 OU with thinning of both temporal rims,
barring of the vessels, and pale nasal rims OU. The macula is
flat; vessels and vitreous are within normal limits. Gonioscopy is
unremarkable.
What is the most likely diagnosis?
What is the pathogenesis of this disease?
What is the next test you would order for this patient?
Give the definition for this condition.
If untreated, this condition can lead to
_________________________________________.
What are the three treatment options for this condition?
List the different classes of topical medications used to treat
this condition and their mechanisms of action.
List the two surgical procedures performed to control this
condition.

Added by Cynthia W.

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