NM 703 Module 4 || A+ Graded Already.
Blepharitis correct answers inflammation of the eyelids
Anterior Blepharitis correct answers Usually from a dermatitis called Seborrhea
Posterior Blepharitis correct answers Meibomian gland dysfunction accociated with rosacea.
Usually hardeolum present
Most common Blepharitis pathogen correct answers Staph Aureus
Blepharitis differential diagnosis correct answers Dry eye syndrome
Conjunctivitis
Sebaceous carcinoma
Blepharitis subjective data correct answers Burning
Foriegn body sensation
Tearing
photophobia
Itching
redness, discharge
swollen eyelids
Blepharitis objective correct answers Lid margin erythema
Ulceration at the base of the lashes
oily or frothy tear film
rosecea is common
*may have erythema over cheeks and nose
Blepharitis management (non-pharmacological) correct answers Lid hygeine
warm comresses 5-10min several X's a day
commercial id scrub or baby shampoo
Blepharitis management (pharmacological) correct answers Antibiotic ointment (Erythromicin or
Bacitracin)
0.3 Tobrex opthalmic solution 2 X's a day
Blepharitis patient teaching correct answers Hordeolum will be self limiting 1-2 weeks
*Good hand washing
Soft face cloth or Q-tip
Replace eye makeup!
Hordeolum correct answers 'sty'. Hardened lump on (usually) one eyelid only. Common in
children and adolescents
Hordeolum Differential disgnosis correct answers Dry eye syndrome
, conjunctivitis
subaceous carcinoma
Chalazion
Hordeolum subjective correct answers Redness
warmth
*painful lump
May or may not have discharge
Hordeolum objective correct answers Swelling at the site
*make sure to evert the eyelid to note the nodule
Hordeolum Management correct answers Frequent warm, moist compresses
*Good hand and eye hygeine
Clean from inner to outer canthus
Eye scrubs for recurrent lesions
Conjunctivitis correct answers Infalmmation of bulbar conjunctiva, transparent mucosal tissue
lining the eye and inner surface of eyelid
Types of conjunctivitis correct answers Viral- most common: adenovirus, HSV or molluscum
Bacterial- 2nd most common
Allergic- non-infectious
Conjunctivitis risk factors correct answers Overcrowding @ schools, camps, daycares etc
Adult bacterial infections (chlamydial, Gonoccocal)
Allergies
Conjunctivitis Differential Diagnosis correct answers Herpetic eye disease
gonococcal/chlamydial related conjunctivitis
subconjunctival hemorrhage
blepharitis
foreign body
uveitis
Conjunctivitis subjective correct answers *Usually starts in one eye
redness
sticky drainage (worse in the AM)
Conjunctivitis objective correct answers Careful history
red eye
excessive watery drainage
low grade temp
Can coincide with URI
Blepharitis correct answers inflammation of the eyelids
Anterior Blepharitis correct answers Usually from a dermatitis called Seborrhea
Posterior Blepharitis correct answers Meibomian gland dysfunction accociated with rosacea.
Usually hardeolum present
Most common Blepharitis pathogen correct answers Staph Aureus
Blepharitis differential diagnosis correct answers Dry eye syndrome
Conjunctivitis
Sebaceous carcinoma
Blepharitis subjective data correct answers Burning
Foriegn body sensation
Tearing
photophobia
Itching
redness, discharge
swollen eyelids
Blepharitis objective correct answers Lid margin erythema
Ulceration at the base of the lashes
oily or frothy tear film
rosecea is common
*may have erythema over cheeks and nose
Blepharitis management (non-pharmacological) correct answers Lid hygeine
warm comresses 5-10min several X's a day
commercial id scrub or baby shampoo
Blepharitis management (pharmacological) correct answers Antibiotic ointment (Erythromicin or
Bacitracin)
0.3 Tobrex opthalmic solution 2 X's a day
Blepharitis patient teaching correct answers Hordeolum will be self limiting 1-2 weeks
*Good hand washing
Soft face cloth or Q-tip
Replace eye makeup!
Hordeolum correct answers 'sty'. Hardened lump on (usually) one eyelid only. Common in
children and adolescents
Hordeolum Differential disgnosis correct answers Dry eye syndrome
, conjunctivitis
subaceous carcinoma
Chalazion
Hordeolum subjective correct answers Redness
warmth
*painful lump
May or may not have discharge
Hordeolum objective correct answers Swelling at the site
*make sure to evert the eyelid to note the nodule
Hordeolum Management correct answers Frequent warm, moist compresses
*Good hand and eye hygeine
Clean from inner to outer canthus
Eye scrubs for recurrent lesions
Conjunctivitis correct answers Infalmmation of bulbar conjunctiva, transparent mucosal tissue
lining the eye and inner surface of eyelid
Types of conjunctivitis correct answers Viral- most common: adenovirus, HSV or molluscum
Bacterial- 2nd most common
Allergic- non-infectious
Conjunctivitis risk factors correct answers Overcrowding @ schools, camps, daycares etc
Adult bacterial infections (chlamydial, Gonoccocal)
Allergies
Conjunctivitis Differential Diagnosis correct answers Herpetic eye disease
gonococcal/chlamydial related conjunctivitis
subconjunctival hemorrhage
blepharitis
foreign body
uveitis
Conjunctivitis subjective correct answers *Usually starts in one eye
redness
sticky drainage (worse in the AM)
Conjunctivitis objective correct answers Careful history
red eye
excessive watery drainage
low grade temp
Can coincide with URI
