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32 Cards in this Set
- Front
- Back
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Inflammation of the eyelid margins is called _
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Blepharitis
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3 year old female presents with redness and swelling of the eyelid but no bump -what is the diagnosis
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Blepharitis
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Inflammation of eyelid glands and follicles is called _
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Stye (hordeolum)
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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
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Stye (hordeolum)
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Organism most often causing eyelid infections (blepharitis and stye)
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Staph. Aureus
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Which eye infection presents with redness,watery eyes, discharge, irritation and occassional photophobia
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Conjunctivitis
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What type of discharge would you observe in bacterial conjunctivitis
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Stringy - may cause lids to stuck together
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What type of discharge would you observe in viral conjunctivitis
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Watery
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How would a patient with bacterial conjunctivitis present
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Stringy discharge
Swelling, redness and tearing Irritation and or gritty feeling Usually affects ONLY ONE EYE |
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How would a patient with viral conjunctivitis present
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Watery discharge
Irritation and redness BEGINS IN ONE EYE AND SPREADS TO ANOTHER EYE |
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How would allergic conjunctivitis present
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Itching and tearing
Swollen eyelids Affects BOTH EYES SIMULTANEOUSLY |
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If you do a Gram stain in a patient with conjunctivitis and it comes back negative what should you be thinking?
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Either viral or Chlamydia
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What type of virus is adenovirus
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Non-enveloped double stranded DNA virus
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Pharyngoconjunctival fever is present in which type of conjunctivitis
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ADENOVIRUS
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Where do kids most often get adenovirus conjunctivitis from
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Swimming pool
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How does keratoconjunctivitis caused by adenovirus spread?
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Highly contagious in household contacts - transmission via hands and fomites
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How would patient with keratoconjunctivitis due to adenovirus present?
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Photophobia
Tearing Pain |
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How do you diagnose adenovirus
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Nasopharyngeal swab for culture of respiratory viruses
Rule out bacteria |
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What type of virus is Measles
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Negative stranded RNA virus, enveloped
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Which patients get conjunctivitis caused by Measles
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Unvaccinated people mostly children
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High fever, cough, coryza, conjunctivitis and photophobia are symptoms of conjunctivitis caused by which of the following
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MEASLES
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What physical finding would you see in patients with Measles
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Kopliks spots
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How do you diagnose Herpes virus
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Look for GIANT MULTINUCLEATED CELLS
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What is the treatment for herpes virus
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IV acyclovir
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What type of virus is RUBELLA
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Positive stranded RNA virus , enveloped
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What ocular manifestations can Rubella have
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Cataracts, glaucoma and microphthalmia
Salt and pepper change in retina |
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What would you find in histology of diagnosis of cytomegalovirus
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Owl eye inclusions
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Brazilian purpuric fever is pediatric disease caused by _ - conjunctivitis followed several weeks by fever, purpura, vascular collapse - rapidly fatal
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H. influenzae aegypticus
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What is the most important worldwide infections
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Chlamydia trachomatis
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How is chlamydia trachomatis spread
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3F's = fingers, flies, fomites
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What stain can you use to diagnose inclusion bodies of Chlamydia trachomatis
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Giemsa stain
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Treatment of eye infection caused by Chlamydia Trachomatis
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- Topical or oral doxycycline or azithromycin
- Erythromycin in children and pregnant women - Systemic erythromycin in neonatal conjunctivitis |
