Primary care
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Ocular symptoms may indicate the presence of systemic or neurologic disease rather than simply local eye disease. Patients with such symptoms often present initially to the family physician. This article discusses important aspects of the neuro-ophthalmic examination that can aid the physician in identifying common neuro-ophthalmic disorders.
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This article guides the primary care physician in determining whether an injury to the eye requires immediate care, immediate referral, or routine treatment. Prevention of ocular trauma through government regulation and the wearing of protective eye gear is emphasized.
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Dysfunction of the eustachian tube is the underlying problem in all types of otitis media. Systemic antibiotics and careful follow-up are the treatment of choice for acute suppurative otitis media, whereas topical antibiotics with saline irrigation are used in patients with a chronic condition. Myringotomy and tube insertion may be required in patients with secretory otitis media that does not undergo spontaneous resolution.