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Exam (elaborations)

AHN 577 Test 1 Study Guide 2024

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AHN 577 Test 1 Study Guide 2024 Viral Conjunctivitis SSX - Ans:-Usually bilateral Copious watery discharge Foreign body sensation Follicular conjunctivitis Viral Conjunctivitis TX - Ans:-IF HSV infection: Topical Ganciclovir gel or oral Acyclovir Cold compresses/Symptomatic care Sulfonamides - prevent secondary infection ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/98 Allergic Conjunctivitis - Ans:-Itching, increased tearing, redness Stringy discharge Possible photophobia and visual loss Allergic Conjunctivitis TX - Ans:-OTC: Naphazoline drops Antihistamines - H1 receptor antagonists - Ketotifen - Loratadine - Fecofenadine - Cetrizine NSAIDS ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/98 Bacterial Conjunctivitis SSX - Ans:-No blurred vision Purulent discharge Mild discomfort Bacterial conjunctivitis TX - Ans:-Gentamycin drops while awake Neomycin drops Polymxin ointment Sulfacetamide Na or Ofloxin Cipro and Levofloxacin ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/98 Chlamydia Conjunctivitis SSX - Ans:-#1 cause of blindness Copious amounts of purulent discharge Conjunctivitis general SSX - Ans:-Itching, burning Redness, increased tears Blurred vision, Foreign body sensation Swelling of eyelid (Chemosis) ? Crusty sticky mucopurulent discharge on lids Otitis Externa SSX (Swimmers Ear) - Ans:-Pain (otalgia) increase w/ manipulation of tragus or pinna ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/98 Decreased hearing or sense of fullness in ear Fever, lymphadenitis, itching Canal/outer ear edema or exudate Otorrhea: Purulent TM normal, erythematous or dull Otitis Externa Tx - Ans:-Gentle suction/removal of debris Drops - Polymyxin B/Neomycin/HC (Cortisporin Otic) - Cipro HC Otics ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 6/98 Cotton gauze if severe edema (remove 2-3 days after insertion) Warm compresses to outer ear - Cipro PO per culture - Aminoglycoside and anti-inflammatories Corticosteroid (Medrol Dosepak) for edema and pain Analgesics: Tylenol, NSAIDS, Opioids (Lortab) 50/50 Rubbing alcohol and white vinegar to affected ear as preventative F/U in 1 week ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 7/98 Otitis Media SSX - Ans:-Throbbing pain (Otalgia) Hearing loss - conductive Vertigo w/ N/V Otorrhea: pulsatile TM: retracted, opaque, and dull w/ decreased movement Bony landmarks obscurred Occasional bullae Otitis Media TX - Ans:-Amoxicillin ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 8/98 PCN allergy: TMP/SMX (Bactrim) or Azithromycin Cefdinir, Cefuroxime, or Cefpodoxime W/ perforation: Cortisporin Otic drops Analgesics for pain - NSAIDS Serous Otitis Media SSX - Ans:-Hearing loss, sense of fu

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




AHN 577 Test 1 Study Guide 2024


Viral Conjunctivitis SSX - Ans:✔✔-Usually bilateral




Copious watery discharge




Foreign body sensation




Follicular conjunctivitis


Viral Conjunctivitis TX - Ans:✔✔-IF HSV infection: Topical Ganciclovir gel or oral Acyclovir




Cold compresses/Symptomatic care




Sulfonamides - prevent secondary infection


Page 1/98

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Allergic Conjunctivitis - Ans:✔✔-Itching, increased tearing, redness




Stringy discharge




Possible photophobia and visual loss


Allergic Conjunctivitis TX - Ans:✔✔-OTC: Naphazoline drops




Antihistamines - H1 receptor antagonists


- Ketotifen


- Loratadine


- Fecofenadine


- Cetrizine




NSAIDS




Page 2/98

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Bacterial Conjunctivitis SSX - Ans:✔✔-No blurred vision




Purulent discharge




Mild discomfort


Bacterial conjunctivitis TX - Ans:✔✔-Gentamycin drops while awake




Neomycin drops




Polymxin ointment




Sulfacetamide Na or Ofloxin




Cipro and Levofloxacin




Page 3/98

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Chlamydia Conjunctivitis SSX - Ans:✔✔-#1 cause of blindness




Copious amounts of purulent discharge


Conjunctivitis general SSX - Ans:✔✔-Itching, burning




Redness, increased tears




Blurred vision, Foreign body sensation




Swelling of eyelid (Chemosis)




? Crusty sticky mucopurulent discharge on lids


Otitis Externa SSX (Swimmers Ear) - Ans:✔✔-Pain (otalgia) increase w/ manipulation of tragus or pinna




Page 4/98
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