NR 602 / NR602 MIDTERM EXAM 2022 – 100%
CORRECT AND VERIFIED
What is a chalazion?
ANS
- Benign, chronic lipogranulomatous inflammation of the eyelid
What causes a chalazion?
ANS
- Blockage of the meibomian gland
What puts a person at risk for a chalazion?
ANS
- Hordeolum or any condition which may impede flow through the meibomian gland.
Mite species that reside in lash follicles.
What are physical exam findings for a chalazion?
ANS
- Painless
Does NOT involve lashes
Lid edema or palpable mass
Red or grey mass on inner aspect of lid margin
What is prevention for chalazion?
ANS
- Good eye hygiene
What is treatment for chalazion?
ANS
- Warm, moist compresses 3x a day
If secondarily infected: sulfacetamide or erythromycin
What is the follow-up for chalazion?
ANS
- In 2-4 weeks
If still present after 6wks, follow up w/ophthalmologist
What is blepharitis?
ANS
- Inflammation/infection of the lid margins (chronic problem)
What are the two types of blepharitis?
ANS
- Seborrheic (non-ulcerative)
Ulcerative
What can cause seborrheic blepharitis?
ANS
, - Irritants (smoke, makeup, chemicals)
What are s/s of seborrheic blepharitis?
ANS
- Chronic inflammation of eyelid
Erythema
Greasy scaling of anterior eyelid
Loss of eyelashes
Seborrheic dermatitis of eyebrows/scalp
What usually causes ulcerative blepharitis?
ANS
- Infection w/staph or strep
What are s/s of ulcerative blepharitis?
ANS
- Itching
Tearing
Recurrent styes
Chalazia
Photophobia
Small ulceration at eyelid margin
Broken/absent eyelashes
Most frequent complaint: ongoing eye irritation, conjunctiva redness
What is the treatment for blepharitis?
ANS
- Clean w/baby shampoo 2-4 times/day
Warm compresses
Lid massage (right after warm massage)
How are infected eyelids with blepharitis treated?
ANS
- Antistaph abx: bacitracin, erythromycin 0.05% x1 wk and quinolone ointments
How is blepharitis infection resistant to topical abx treated?
ANS
- Tetracycline 250mg PO x4
Doxy 100mg PO x2
What is conjunctivitis?
ANS
- Inflammation or irritation of conjunctiva
What is the most common cause of conjunctivitis in peds?
ANS
- Bacteria
What are some common causes of bacterial conjunctivitis?
ANS
CORRECT AND VERIFIED
What is a chalazion?
ANS
- Benign, chronic lipogranulomatous inflammation of the eyelid
What causes a chalazion?
ANS
- Blockage of the meibomian gland
What puts a person at risk for a chalazion?
ANS
- Hordeolum or any condition which may impede flow through the meibomian gland.
Mite species that reside in lash follicles.
What are physical exam findings for a chalazion?
ANS
- Painless
Does NOT involve lashes
Lid edema or palpable mass
Red or grey mass on inner aspect of lid margin
What is prevention for chalazion?
ANS
- Good eye hygiene
What is treatment for chalazion?
ANS
- Warm, moist compresses 3x a day
If secondarily infected: sulfacetamide or erythromycin
What is the follow-up for chalazion?
ANS
- In 2-4 weeks
If still present after 6wks, follow up w/ophthalmologist
What is blepharitis?
ANS
- Inflammation/infection of the lid margins (chronic problem)
What are the two types of blepharitis?
ANS
- Seborrheic (non-ulcerative)
Ulcerative
What can cause seborrheic blepharitis?
ANS
, - Irritants (smoke, makeup, chemicals)
What are s/s of seborrheic blepharitis?
ANS
- Chronic inflammation of eyelid
Erythema
Greasy scaling of anterior eyelid
Loss of eyelashes
Seborrheic dermatitis of eyebrows/scalp
What usually causes ulcerative blepharitis?
ANS
- Infection w/staph or strep
What are s/s of ulcerative blepharitis?
ANS
- Itching
Tearing
Recurrent styes
Chalazia
Photophobia
Small ulceration at eyelid margin
Broken/absent eyelashes
Most frequent complaint: ongoing eye irritation, conjunctiva redness
What is the treatment for blepharitis?
ANS
- Clean w/baby shampoo 2-4 times/day
Warm compresses
Lid massage (right after warm massage)
How are infected eyelids with blepharitis treated?
ANS
- Antistaph abx: bacitracin, erythromycin 0.05% x1 wk and quinolone ointments
How is blepharitis infection resistant to topical abx treated?
ANS
- Tetracycline 250mg PO x4
Doxy 100mg PO x2
What is conjunctivitis?
ANS
- Inflammation or irritation of conjunctiva
What is the most common cause of conjunctivitis in peds?
ANS
- Bacteria
What are some common causes of bacterial conjunctivitis?
ANS
