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14 Cards in this Set
- Front
- Back
Purulent discharge points towards?
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Bacterial conjunctivitis
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Watery discharge points towards?
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Viral conjunctivitis
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Stringy and white discharge points towards?
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Allergic conjunctivitis
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Tender preauricular nodule points is indicative of viral, bacterial, or allergic conjunctivitis?
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Viral conjunctivitis
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Treatment for viral conjunctivitis
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Cool compresses and lubricating drops for most cases. Severe cases can be treated with judicious use of topical steroids.
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What is the treatment for allergic conjunctivitis?
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Cool compresses, topical antihistamines (levocabastine), NSAIDs (ketorolac), mast-cell stabilizers (lodoxamide), or multiaction (olopatadine, ketotifein) and systemic antihistamines.
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What is the treatment for bacterial conjunctivitis?
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Polymyxin/trimethoprim, ofloxacin, levofloxacin, or ciprofloxacin - topical antibiotic drops
Erythromycin or bacitracin - topical antibiotic ointment |
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Chlamydia conjunctivitis
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Typically found in neonates and sexually active adults. Can cause systemic disease in neonates. Can last weeks to months without treatment in adults. Treat with systemic erythromycin or tetracycline.
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Blepharitis
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Inflammation of the eyelid margin. Treatment includes warm compress, eyelid scrubs, antibiotic ointment, and occasionally systemic tetracyclines.
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Ophthalmia neonatorum
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Neonatal conjunctivitis; can be caused by many things, including silver nitrate prophylaxis, chlamydia, gonococcus, and other bacteria.
Treatment includes lubrication and follow up. Current prophylaxis is erythromycin ophthalmic ointment. |
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Acanthamoeba keratitis
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An uncommon parasitic corneal infection
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Bacterial ulcers
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Red eye, painful, and light sensitive; often associated with contact lens use.
Treatment for mild to moderate corneal ulcers includes topical fluoroquinolones (ciprofloxacin, levofloxacin, or ofloxacin). Treatment for moderate to severe corneal ulcers includes topical fortified antibiotics (tobramycin or gentamycin) alternating with cefazolin or vancomycin every 30-60 minutes. |
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Herpes simplex keratitis
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Tree branching area of staining (dendritic) with fluorescin; moderate pain; vision minimally decreased; aggravated by topical steroids; demands emergent treatment.
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Iritis
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Symptoms include circumcorneal injection, photophobia secondary to blunt trauma, and keratitis. It is associated with systemic disease (sarcoidosis and connective tissue diseases). Often idiopathic.
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