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30 Cards in this Set
- Front
- Back
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In general what is happening to the meibomian gland with meibomian gland dysfunction?
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its not contagous, the gland metabolism is altered, secretions become thick and the block the opening, stagnant material grows bac. lipase is released triggering inflammation.
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meibomian gland dysfunction is often associated with what skin disorder?
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rasacea (acne), which involves the sebaceous glands (sweat)
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there are some bumps that are associated with rosacea they can come in two forms what are they called
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pustules and papule. papules usually proceed to pustules.
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where is the cellular debris in a papule?
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in the dermis
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Telangiectasias what are they
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sisible dilated small blood vessels on the nose or cheeks. you can also get them on the eye lids. even on teh bulbar conj.
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rhinophyma what is it?
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red, bullous nose (sebaceous gland hypertrophy)
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Tx for rosacea?
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usually oral doxycycline 100mg. you could also use a topical cream but its usually not as effective.
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what are some things that may trigger rosacea
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hot spices, alcohol, heated beverages, chocolate, tomatoes, citrus fruits, Sun exposure, winds, stress, fear, anxiety, hellobacter pylori, ace inhibitors b/c they are vaso dilators.
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what type of ocular manifestations can rosacea have on lids?
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Meibomian gland dysfunction
Blepharitis, Hordeolum, Chalazion, Inflammation and infection of the lids |
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what type of ocular manifestations can rosacea have on eye itself?
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Poor tear film, Conjunctival injection, PEE (SPK), Corneal vascularization, Corneal thinning
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what could you do to tx a pt with rosacea if it is not affecting the eyes.
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nothing dont Tx them.
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what should you educate the pt about if they have ocular rasacea?
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lid hygiene, dietary restrictions and environmental triggers.
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pt presents with a lid margin that appears to be serrated, with tarsal conj streaking. what might they have?
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meibomian gland dysfunction.
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meibomian gland dysfunction could be caused by two things that we have talked about what are they?
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rosacia and over production of natural bacteria.
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if you perfom a toothpast test and squeez a meibomian gland what color should the excretions be normally?
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clear
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when evaluating meibomian gland dysfuction what other conditions must you look for
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staph bleph, seborrheic bleph, and rosacea.
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Tx for meibomian gland dysfunction?
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manage dry eye. consider doxycycline 100mg bid for 6 -10 weeks. taper to lowest dose if possible. this works by inhibiting lipase production.
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Pt education for meibomian gland dysfunction?
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its a chronic condition, there is no cure all we can do is manage it.
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cause of angular blepharitis?
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Moraxella lacunata
Staphylococcus epidermidis Staphylococcus aureus |
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drugs used for moraxella?
drugs used for staphylococcus? |
M - zinc sulfate .25% solution
S - bacitracin or erythromycin |
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what is impetigo caused by?
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Skin infection with Staphylococcus aureus or Streptococcus pyogenes
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true or false impetigo is not contagious?
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false it is contagious
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a rash with crusts ("honey crusts") on the face and distal extremities is called what?
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impetigo
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is impetigo more epi or dermal?
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epi
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A skin infection involving the superficial dermal lymphatics swell up. that affects the legs and face most frequently.
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Erysipelas
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what bug causes erysipelas?
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streptococcus pyogenes
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how do you tell the difference b/t Erysipelas and Rosacea?
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Erysipelas will have started recently and Erysipelas will cause fever, chills, and pain.
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red patches of redness and swelling are characterized by what in erysipelas?
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sharply demarcated edges.
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Is erysipelas contagous or not?
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yes but not as much as impetigo because erysipelas is more dermal
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Tx for erysipelas?
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refer to PCP or dermatologist. you would use penicillin G or V
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