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32 Cards in this Set

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Inflammation of the eyelid margins is called _
Blepharitis
3 year old female presents with redness and swelling of the eyelid but no bump -what is the diagnosis
Blepharitis
Inflammation of eyelid glands and follicles is called _
Stye (hordeolum)
4 year old male presents with eye infection that started with tender, small red painful bumps on the inside and outside edge of the eye lid - what is the diagnosis
Stye (hordeolum)
Organism most often causing eyelid infections (blepharitis and stye)
Staph. Aureus
Which eye infection presents with redness,watery eyes, discharge, irritation and occassional photophobia
Conjunctivitis
What type of discharge would you observe in bacterial conjunctivitis
Stringy - may cause lids to stuck together
What type of discharge would you observe in viral conjunctivitis
Watery
How would a patient with bacterial conjunctivitis present
Stringy discharge
Swelling, redness and tearing
Irritation and or gritty feeling
Usually affects ONLY ONE EYE
How would a patient with viral conjunctivitis present
Watery discharge
Irritation and redness
BEGINS IN ONE EYE AND SPREADS TO ANOTHER EYE
How would allergic conjunctivitis present
Itching and tearing
Swollen eyelids
Affects BOTH EYES SIMULTANEOUSLY
If you do a Gram stain in a patient with conjunctivitis and it comes back negative what should you be thinking?
Either viral or Chlamydia
What type of virus is adenovirus
Non-enveloped double stranded DNA virus
Pharyngoconjunctival fever is present in which type of conjunctivitis
ADENOVIRUS
Where do kids most often get adenovirus conjunctivitis from
Swimming pool
How does keratoconjunctivitis caused by adenovirus spread?
Highly contagious in household contacts - transmission via hands and fomites
How would patient with keratoconjunctivitis due to adenovirus present?
Photophobia
Tearing
Pain
How do you diagnose adenovirus
Nasopharyngeal swab for culture of respiratory viruses
Rule out bacteria
What type of virus is Measles
Negative stranded RNA virus, enveloped
Which patients get conjunctivitis caused by Measles
Unvaccinated people mostly children
High fever, cough, coryza, conjunctivitis and photophobia are symptoms of conjunctivitis caused by which of the following
MEASLES
What physical finding would you see in patients with Measles
Kopliks spots
How do you diagnose Herpes virus
Look for GIANT MULTINUCLEATED CELLS
What is the treatment for herpes virus
IV acyclovir
What type of virus is RUBELLA
Positive stranded RNA virus , enveloped
What ocular manifestations can Rubella have
Cataracts, glaucoma and microphthalmia

Salt and pepper change in retina
What would you find in histology of diagnosis of cytomegalovirus
Owl eye inclusions
Brazilian purpuric fever is pediatric disease caused by _ - conjunctivitis followed several weeks by fever, purpura, vascular collapse - rapidly fatal
H. influenzae aegypticus
What is the most important worldwide infections
Chlamydia trachomatis
How is chlamydia trachomatis spread
3F's = fingers, flies, fomites
What stain can you use to diagnose inclusion bodies of Chlamydia trachomatis
Giemsa stain
Treatment of eye infection caused by Chlamydia Trachomatis
- Topical or oral doxycycline or azithromycin
- Erythromycin in children and pregnant women
- Systemic erythromycin in neonatal conjunctivitis