6 Conjunctiva

Question 1

watery/serous discharge

Answer 1

viral, allergy

Question 2

mucoid

Answer 2

dry eye, allergy

Question 3

mucopurulent

Answer 3

bacterial (mild), chlamydial

Question 4

pururlent

Answer 4

bacterial (severe)

Question 5

follicles

Answer 5

translucent rice
small bv at base
most obvious in fornix
viral, chlamydial infn

Question 6

papillae

Answer 6

central vessels
elevated lesions
palp conj or limbus
pseudomembranes can be peeled

Question 7

chemosis (edema)

Answer 7

acute - allergy

chronic - orbital outflow obstruction

Question 8

lymphadenopathy

Answer 8

viral, likely
chlamydia
gonococcal

Question 9

acute bacterial conjunctivitis

Answer 9

children, self-limiting
FB sensation, burning, crusted lids
no PAN
antibiotic examples: FQ, AG, polymicin B

Question 10

gonococcal keratoconjunctivitis

Answer 10

N. gonorrhoeae
ophthalmia neonatorum - infantile purulent conj
PAN

Question 11

adult chlamydial conjunctivitis

Answer 11

C. trachomatis serotypes D to K
stringy mucopurulent discharge
superior micropannus
tender PAN
refer to GP and report to public health unit

Question 12

trachoma

Answer 12

leading cause of preventable irreversible blindness
vector is common fly
keratoconj leads to scarring
tx: SAFE - Surgery for trichiasis, antibiotics, facial hygiene, environment

Question 13

viral conjunctivitis

Answer 13

survives on dry surfaces for weeks
transmission through resp or ocular secretions
associated: adenoviridae and herpes

Question 14

adenoviral conjunctivitis

Answer 14

history of URT infections

ass w/ pharyngoconj fever and epidemic kertoconj

Question 15

pharyngoconjunctival fever (PCF)

Answer 15

human adenovirus types 3 & 7
children
fever
non-tender PAN
reduce fever
no aspirin in kids or Reye's syndrome!

Question 16

Reye’s syndrome

Answer 16

fatal for brain and liver
hypoglycemia
ass w/ aspirin in children w/ viral illness

Question 17

epidemic keratoconjunctivitis (EKC)

Answer 17

human adenovirus types 8, 19, 29 37
adults
tender PAN
microcysts, focal epi keratitis, sub epi keratitis
topical steroids if VA decreases
contagious!