Ocular Disease, Nbeo Part 1, Set 2

Front 1

Unilateral twitching of the orbicularis oculi. Does not affect procerus and or corrugator musculature

Back 1

Myokymia

Front 2

2:1 Males. Most common skin cancer in the US.
Shiny, firm pearly nodule with superficial telangiectasia
late stage: rodent ulcer

Back 2

Basal Cell Carcinoma

Front 3

Variable presentation, classically described as an erythematous plaque-rough, scaly and or ulcerated, can be flat or elevated. Actinic keratosis is precursor

Back 3

Squamous Cell Carcinoma

Front 4

Rare. May have history of chronic, unilateral bleph or recurrent chalazion. May have madarosis with thickened, red lid margins and lymphadenopathy. Tumor is often hard and yellow.

Back 4

Sebaceous Gland Carcinoma

Front 5

What does ABCDE of skin lesions stand for?

Back 5

Asymmetry, Borders, Color, Diameter, and Enlarging

Front 6

Swelling of upper eyelid, S-shaped ptosis might be apparent. More common in children and young adults. Unilateral redness, tenderness, preauricular lymphadenopathy, elevated WBC

Back 6

Dacryoadenitis

Acute: usually infection
Chronic: inflammatory

Front 7

Tenderness over the nasal portion of the upper or lower eyelid, swollen puncta ("pouting puncta") and mucopurulent discharge
smoldering, unilateral, red eye often unresponsive to antibiotics

Back 7

Canaliculitis

Most commonly actinomyces israeli which reveals yellow sulfur granules

Front 8

Pain, often with crusting and tearing, occasional fever.
Prominent edema and tenderness over lacrimal sac area

Back 8

Dacryocystitis

caused by drainage system cloggage, bacteria from tears invades

Front 9

2:1 females. Unilateral tearing. Discharge, crusting, recurrent conjunctivitis.
Epiphora, mucous reflex from puncta (after compression of lacrimal sac)

Back 9

Nasolacrimal Duct Obstruction

Front 10

Positive Jones 1 =

Back 10

patent system

confirmed by fluorescein in back of throat or nose blow

Front 11

Rare, benign proliferation of melanocytes that presents around puberty or early adulthood. Typically unilateral and flat and occasionally non-pigmented.

Back 11

Conjunctival Nevus

Front 12

Acquired pigementation, commonly in elderly white pts, that is rare, unilateral, and has premalignant potential.

Back 12

Primary Acquired Melanosis (PAM)

Front 13

For Conjunctival Melanomas, the most important prognostic indicator for progression to malignancy is the _________ of the lesion

Back 13

Thickness

Front 14

The most common conjunctival malignancy in the US. 95% of cases are found at the limbus

Back 14

Conjunctival Intraepithelial Neoplasia (CIN)

Front 15

Rare, slow growing, malignant tumor that typically presents in the elderly. Most commonly derived from CIN.

Back 15

Conjunctival Squamous Cell Carcinoma

Front 16

More common in kids
Acute onset of redness, usually begins in one eye then spreads. FB sensation, eyelids stuck together upon awakening

Back 16

Simple Bacterial Conjunctivitis

H. influenzae is most common cause

Front 17

Rare. Most common in young adults with history of multiple sexual partners. Severe purulent discharge
Hyperacute onset of redness and discharge. FB sensation, eyelids stuck together upon awakening

Back 17

Gonococcal Conjunctivitis

pt will have marked preauricular lymphadenopathy

Front 18

Only bacteria causing conjunctivitis that commonly causes preauricular lymphadenopathy and pseudomembranes

Back 18

N. Gonorrhea

Front 19

More common in adults
Rapid onset of redness, tearing, mild discomfort, and preauricular lymphadenopathy. Acute follicular conjunctivitis.

Back 19

Adenoviral Conjunctivitis

most result from upper respiratory tract or nasal mucosa infection

Front 20

Results from serotypes 8 and 19 and is well-known for pain and corneal involvement (80%)
Symptoms occur 8 days after exposure
SEI's classically present

Back 20

Epidemic Keratoconjunctivitis (EKC)

SEI's means the condition is no longer contagious

Front 21

Results from 3 and 7
Triad: acute follicular conjunctivitis, mild fever, and pharyngitis
"Swimming pool conjunctivitis"

Back 21

Pharyngoconjunctival Fever (PCF)

Front 22

Single or multiple dome shaped waxy nodules located on lid or lid margin. Can have mild, mucous discharge

Back 22

Molluscum Contagiosum

Caused by DNA pox virus

Front 23

Itching, tearing, watery discharge.
Conjunctival chemosis, papillae

Back 23

Allergic Conjunctivitis

Front 24

inflamed area of elevated conjunctiva that contain a central vessel which serves as the source for infiltration of eosinophils, mast cells, neutraphils and lymphocytes

Back 24

Papillae

non specific to any condition but are commonly associated with allergic or bacterial conjunctivitis

Front 25

Avascular, white-gray nodules typically located in the tarsal and fornix conjunctivitis

Back 25

Follicles

associated with chlamydia, toxic, or viral infections

Front 26

Intense itching and photophobia
Bilateral prominent papillae, either on limbus (Trantas Dots) or upper palpebral conj (cobblestone papillae)
may have corneal involvment

Back 26

Vernal Keratoconjunctivits (VKC)

occurs in pts predisposed with atopic systemic conditions

Front 27

Bilateral itching, watery discharge, redness, photophobia, and pain.
Prominent outer eyelid and periorbital involvement, including Dennie's lines. More prominent inferiorly

Back 27

Atopic Keratoconjunctivitis (AKC)

Front 28

95% from contact lens wear, exposed sutures, glaucoma filtering blebs, and ocular prosthetics

Back 28

Giant Papillary Conjunctivits (GPC)