emDOCs.net Emergency Medicine (EM) Podcast
Episode 109 - Corneal Abrasion and DRESS
Oct 25, 2024
Explore the intricacies of corneal abrasions, a common emergency dilemma, with insights on their symptoms and the diagnosing process. Discover key assessment techniques and treatment options, including when to refer to ophthalmology. Transitioning to DRESS syndrome, unravel a clinical case involving a rash from allopurinol, emphasizing symptoms, complications, and management strategies. This engaging discussion offers valuable knowledge for emergency care providers.
17:37
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Quick takeaways
- Effective management of corneal abrasions involves pain relief, antibiotic therapy, and urgent referrals for significant cases requiring specialist attention.
- DRESS syndrome requires immediate drug cessation and corticosteroids for management, emphasizing the importance of clinical judgment in diagnosis and treatment.
Deep dives
Understanding Corneal Abrasions
Corneal abrasions are a common cause of ocular complaints in the emergency department, accounting for about 45% of eye-related visits. Key historical questions focus on trauma history, eye protection practices, and material involved in the injury, such as organic materials or airbag deployment. Physical examination begins with visual acuity assessment, followed by evaluation of the eye and surrounding structures for signs of foreign bodies or open globe injuries. Diagnosis can be confirmed with fluorescein staining, which reveals the extent of the abrasion, while proper management includes pain relief, antibiotic therapy, and patching in larger abrasions.
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