3 Eyelids - Lumps and Bumps

Question 1

lumps and bumps of glands

Answer 1

hordeolum
chalazion
cysts
milia

Question 2

lumps and bumps of skin

Answer 2

xanthalasma
molluscum contagiosum
benign eyelid tumours
malignant eyelid tumours

Question 3

hordeolum

Answer 3

stsaph infn of gland
internal = MG
external = zeis or moll (stye)

Question 4

internal hordeolum

Answer 4

staph abscess of MG

WC, lid massage, surgery

Question 5

exernal hordeolum

Answer 5

staph abscess of lash follicle/zeis

WC, epilation

Question 6

chalazion

Answer 6

MG obstruction

WC, massage

Question 7

cyst of moll

Answer 7

cyst of moll/sweat glands

translucent, bluish tinge

Question 8

cyst of zeis

Answer 8

obstructed zeis gland ass w/ hair follicle

non-translucent

Question 9

sebaceous cyst

Answer 9

blocked sebaceous glands, floppy tag

Question 10

epidermal inclusion cyst

Answer 10

implantation of epidermis into dermis

round, firm, looks like skin

Question 11

dermoid cyst

Answer 11

sequestered skin during embryogenic development

subcut or deeper at lateral brow

Question 12

milia

Answer 12

occlusions of hair follicles/seb glands

Question 13

are hordeolums infections or blockages?

Answer 13

infections

Question 14

are chalazions infections or blockages?

Answer 14

blockages

Question 15

xanthelasma

Answer 15

multiple yellow plaques

Question 16

molluscum contagiosum

Answer 16

infection by pox virus - affects children

pale, waxy nodules bigger than milia

Question 17

herpes zoster ophthalmicus

Answer 17

unilaterial along a nerve - caused by VZV

in elderly and immunocompromised

Question 18

herpes simplex

Answer 18

prodromal lid tingling

vesicles, swelling

Question 19

benign eyelid tumor examples

Answer 19

squamous cell papilloma
seborrheic keratosis
actinic keratosis
freckles
congenital melanocytic naevus
capillary haemangioma
port wine stain
Sturge-Weber syndrome

Question 20

squamous cell papilloma

Answer 20

common, variable presentations: pedunculated, raspberry, horn, pig/unpig

Question 21

seborrheic keratosis (basal cell papilloma)

Answer 21

squished raisin

excision

Question 22

actinic kertosis (solar)

Answer 22

pre-malignant

skin texture has changed

Question 23

freckles

Answer 23

pigmented area of skin

Question 24

congenital melanocytic naevus

Answer 24

uniform colour kissing lids

Question 25

capillary haemangioma

Answer 25

strawberry naevus
common in kids
unilateral, blanches w/ pressure

Question 26

port wine stain

Answer 26

red/pink patch

doesn’t blanch w/ pressure

Question 27

Sturge-Weber syndrome

Answer 27

leptomeninges

stain over trigeminal nerve branch

Question 28

basal cell carcinoma

Answer 28

most common human malignancy

risks: fair skin, sun exposure

Question 29

squamous cell carcinoma

Answer 29

more aggressive than BCC, it’ll metastasize

Question 30

sebaceous gland carcinoma

Answer 30

elderly females

Question 31

lentigo maligna and melanoma

Answer 31

highly metastatic and arises from dermis

Question 32

karposi sarcome

Answer 32

vasc tumour, affects AIDs px w/ systemic disease

Question 33

malignant eye tumour Tx

Answer 33

biopsy
surgical excision
reconstruction

Question 34

triaging eyelid lesions

Answer 34

LUI key
loss of lashes
ulceration
infiltration of normal activity