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9 Cards in this Set
- Front
- Back
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define blepharitis/meibomianitis- etiology, s&s,associated disease
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1.inflamation of lid margins and oil glannds
2.caused by staph or demodex in general, angular bleph caused by moraxella 3.symptom-itch,red,burn,water, FBS,worse at end of day or when waking, 4.signs- thick or red margins, crusting, telangieatic vessels, blocked glands and thick secreations 5.common with dry eye |
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DDX & Tx of blephartitis/meibomianitis
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1.DDx- herpes, rosacea, DES, FB, viral/allergic conjunctivitis, hordeolum, ocular pemphigoid, discoid lupus, & carcinoma
2. Tx- good hx, biopsy or culture suspicious lesion, warm compresses QID, lid scrubs, topical bacitracin/erythromycin, short course tobradex, 50mg doxycycline BID, tx associated causes |
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Cause, S&S, Tx of
Herpes Simplex |
1.pain,itch,red,small clusters of vesicles that rupture and crust over...can lead to cornea/conj involvement
2. cool compress, topical antiviral(trifluridine 9X day or vidarabine 5X day) if cornea involved, systemic antivirals (acyclovir 400mg 5X/day 10days, famciclovir 500mg TID 1 week) |
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Herpes Zoster- definition, signs & symptoms, associated conditions
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1.skin eruption, vesicular ulceration & crusting...reactivation of latent virus in CN5..does NOT cross the midline
2.may see fever, HA, malaise, paresthesia, tingling, burning over dermatome, scarring 3.can lead to entropion, ectropian, punctal stenosis, keratitis, madarosis |
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Herpes Zoster- Tx
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1.cool compresses TID
2.erythromycin/bacitracin TID to skin 3.Oral antiviral (800mg acyclovir 5x/day 1 week, 1000mg Valacyclovir or 500mg famciclovir TID 1 week) 4.Capsascin cream or amytriptyline 25mg po TID for pain |
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Molluscum Contagiosum- define,signs & symptoms, Tx
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1.caused by pox virus, in kids, spreads easily
2.dome shapes, waxy papule 3.seen with follicular conjunctivitis, pannus, SPK, self-limiting 4.Tx- curretage, cryotherapy, cautery |
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Demodicosis- define, signs & symptoms, Tx
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1. infection of hair caused by demodex folliculorum
2.seen with blepharitits, crusting at base of lash, may cause hordeolum 3.lid scrubs |
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Phthiriasis/Pediculosis- define, signs & symptoms, Tx
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1.lice
2.itching, burning, white nits/eggs, lice at lashes, prearicular lymphadenopathy, follicles, injections, blepharoconjunctivitis 3.remove lice with forceps, vasoline/topical ointment to suffocate lice, Kwell/Nix shampoo for scalp, discard/wash all linens and clothes, treat std if involved |
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Leprosy- define, signs & symptoms, Tx
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1.mycobacterium leprae
2.eyelash or brow loss, trichiasis, ectropion, lagophthalmos, keratitis, corneal ulcer 3. Dapsone 100mg po QD, Rifampin 600mg po QD, clofazimine 100mg po QD |
