8091276
Descripción
Fichas por Julia Todd, actualizado hace más de 1 año
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Creado por Julia Todd
hace más de 7 años
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| Pregunta | Respuesta |
| -Very Contagious -Bilateral -Redness, burning, grittiness, stuck eyelids -Circumlimbal injection-redness under the lids -Hypopion -Scleritis -Papillae -Watery Discharge --> mucoplurent -Superficial corneal PEE | Bacterial Conjunctivitis |
| -Adenovirus -Unilateral: 1 eye is affected first and is worse than the 2nd eye effected -Redness, watery discharge, photophobia, eyelid edema, pre-auricular lymphadenopathy -Follicles | Viral Conjunctivitis |
| Bacterial Conjunctivitis is typically caused by: | H. Influenza S. Pneumoniae S. Aureus Moxaxellis catarrhalis |
| TOPICAL AB treatment of Bacterial Conjunctivitis includes: | Vigamox*, Moxeza, Polytrim |
| Topical AB/Steroid Drug combination for the tx of Bacterial Conjunctivitis includes what 2 drugs and how is it dosed? | 1. Tobradex 2. Zylet |
| Viral Conjunctivitis is treated with: | Betadine Protocol |
| Most common form of ocular and nasal allergic conjunctivitis: | Rhinoconjunctivitis |
| redness watery ropey discharge associated w/ systemic allergies itching lid edema sneezing, nasal discharge | Allergic Conjunctivitis |
| 2 Types of Allergic Conjunctivits | 1. Seasonal: AKA Hay Fever is worse in the spring* and summer* (Sensitivity to grass, pollen, or others depending upon geographic location) 2. Perennial: associated with symptoms throughout the year but is worse in the fall* (Sensitivity to house dust mites, animal dander, fungal allergens) |
| Allergic Conjunctivitis is treated with: | Mast Cell Stabilizer/Antihistamine COMBO OR Steroid |
| -sudden onset, even with long term use of causative agent (medication) -bilateral -lid edema -redness -watery discharge -papillae -lids may appear *LEATHERY* or thickened* | Toxic Conjunctivitis |
| Toxic Conjunctivitis is often misdiagnosed initially as another type of itis and treated with an AB/steroid - what is wrong with treating Toxic Conjunctivitis with a steroid? | Relapse as soon as steroid os discontinued |
| The most important factor in the tx of Toxic Conjunctivitis is to first: | ID source and discontinue its use (medication, eye drop, make-up) |
| Toxic Conjunctivitis is treated how: | Steroids QID x 7 days AT COOL compresses Non preservative topical medications |
| Medicamentosa is another term used to describe which type of Conjunctivitis | Toxic Conjunctivitis |
| asymptomatic "bubble" on the superficial conjunctiva containing clear fluid that is typically treated by puncturing with a needle | Cyst |
| Benign condition that stabilizes by early adulthood. Seen in darker-skinned pt's and is caused by melanin that may extend to peripheral cornea from the conjunctiva | Epithelial Melanosis |
| Small chalky yellow deposits you're born with that are non progressing and seen often in the elderly | Concretions |
| What conjunctival condition is a CHRONIC INFLAMMATORY CONJUNCTIVAL DISEASE | Concretions |
| Prior to removal of concretions of the conj with a needle, what MUST be done first? | Before removing concretions with a needle must *check for concretion stains with NaFl and cobalt blue filter before removing |
| Normal aging change involving redundant excessive conjunctival tissue | Conjunctivochalasis |
| Conjunctivochalasis is often caused by what two lacrimal system conditions: | Lid margin disease Dry eye |
| Topical Lubricants Surgical Resection *Doxycycline* Can be used for the tx of: | Conjunctivochalasis |
| Broken blood vessel of the conjunctiva, benign and heals on its own | Subconjunctival Heme |
| -common, biliateral, asymptomatic condition that can be treated how if inflammed? | Pinguecula/Pingueculitis tx using *topical steroids if inflammed* |
| Lids stuck shut upon wakening is a primary indicator of what conjunctivitis? | Bacterial |
| Vigamox* Moxeza* Polytrim* Are what type of drug class and are dosed how for the tx of bacterial conjunctvitis | Topical AB - TID -Self-preserved -Doesn't wash away easily -Safe and good for allergic conj tx too |
| Inflammatory lesion of the conjunctiva that generally appears after surgery or even after minor trauma to the conjunctiva. | Pyogenic Granuloma |
| T/F: Pyogenic Granulomas appears as a fleshy, fast growing, red, pedunculated, vascular masses and bleeds easily. In which the site of surgery is = to the site of inflammation | FALSE: Site of surgery isn’t necessarily site of inflammation. |
| TX for Pyogenic Granuloma includes: | Steroids Excision Cautery |
| Occurs when the bulbar and palpebral conjunctiva stick together, preventing the eye from moving freely. | Symblepharon |
| Symblepharon may result in what 4 complications? | Ocular Motility DIsorder Diplopia Entropion Inadequate lid closure |
| The following are all possible etiologies for: DES Steven-Johnson Syndrome Cicatrical Pemphigold Chemical Injury EKC or other conjunctival infection complicated by scarring | Symblepharon |
| How is symblepharon treated? | oculoplastics - can be released and removed |
| Well-circumscribed, yellow-white solid mass that involves the bulbar conjunctiva at the corneoscleral limbus. | Dermoid |
| T/F: Dermoids are CONGENITAL Lesions | TRUE: simple choristomatous malfrmation of dense fibrous tissue lined by conjunctival epithelium. May contain hair follicles and sebaceous glands. |
| Dermoids are often noted where in which fine white hairs can be noted under SL | INFERIOR TEMPORALLY |
| Treatment of Conjunctival Dermoid includes: | Observation and Excision for cosmetic reasons |
| Metaplasisa of the conjunctival epithelium and tangles of keratin admixed with gas-forming bacteria (Corynebacterium xerosis). | *Bitot's Spot* |
| Bitot's Spot appears as dry, scaly, foamy patches on the BULBAR conjunctiva. (DONT confuse with ______ or ________) | Dermoid or Pinguecula |
| T/F: Bitot's Spot is asymptomatic | FALSE: eyes may burn subjectively |
| Findings of a Bitot's Spot is highly suggestive of what conditions | Vita A deficiency and chronic conjunctival inflammation |
| The finding of Bitot's spot on the conjunctiva during SL examination calls for what kind of tx: | Refere to PCP for Vitamin A deficient Evaluation |
| What is the preferred treatment for pingueculitis ? | Topical NSAIDS over steroids - lessens change of recurring* |
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