Anti-Infectives: Cases Flashcards

1
Q

anterior blepharitis is primarily caused by

A

hypersensitivity to staph exotoxins or overgrowth

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2
Q

how do you treat a mild blepharitis?

A

lid hygiene is sufficient

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3
Q

how do you treat moderate blepharitis?

A

lid hygiene with lid scrubs or wipes

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4
Q

how do you treat moderate-severe blepharitis?

A

use an antibiotic ointment (eg, erythromycin) to remove the bacteria & level the exotoxin production

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5
Q

how do you treat severe blepharitis?

A

use an antibiotic-steroid combination

Maxitrol, TobraDex, Blepharide

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6
Q

posterior blepharitis is also known as?

A

meibomian gland dysfunction

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7
Q

external & internal hordeolums are most often caused by what organism? how would you treat it?

A

staphylococci (G+) → oral ABX (cell wall inhibitors: amoxicillin, cephalexin)

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8
Q

internal hordeolums are caused by infection of what?

A

meibomian glands

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9
Q

external hordeolums are caused by infection of what?

A

glands of Zeis

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10
Q

preseptal cellulitis is more often caused by? & give some examples

A

more often G+

  • S. aureus
  • group A strep pyogenes
  • β-hemolytic strep
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11
Q

what are some secondary respiratory organisms that can cause preseptal cellulitis?

A
  • S. aureus
  • strep pneumonia
  • H. influenzae
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12
Q

when anaerobic organisms cause preseptal cellulitis, it will have what kind of discharge? what would you use to treat it?

A

foul-smelling discharge → use penicillins

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13
Q

for moderate-severe cases of preseptal cellulitis, what antibiotic can you treat it with?

A

Augmentin

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14
Q

orbital or preseptal cellulitis?

visual acuity is reduced

A

orbital cellulitis

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15
Q

orbital or preseptal cellulitis?

proptosis present

A

orbital

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16
Q

orbital or preseptal cellulitis?

chemosis is rare or mild

A

preseptal cellulitis

17
Q

orbital or preseptal cellulitis?

hyperemia is present

A

orbital cellulitis

18
Q

orbital or preseptal cellulitis?

RAPD present

A

orbital cellulitis

19
Q

orbital or preseptal cellulitis?

normal motility

A

preseptal cellulitis

20
Q

orbital or preseptal cellulitis?

possible increase in IOP

A

orbital cellulitis

21
Q

orbital or preseptal cellulitis?

elevated temperature

A

orbital cellulitis

22
Q

orbital or preseptal cellulitis?

absent or mild headache

A

preseptal cellulitis

23
Q

orbital or preseptal cellulitis?

associated symptoms such as nausea & vomiting

A

orbital cellulitis

24
Q

what are bacteria that can penetrate a healthy corneal epithelium?

A
  • neisseria gonorrhoeae
  • neisseria meningitidis
  • listeria
  • corynebacterium diphtheria
  • haemophilus influenzae