Case 2a Flashcards
What red eye diagnosis shows unilateral?
Bacterial or viral?
What red eye diagnosis shows itchiness and bilateral?
Allergic
What red eye diagnosis shows pain, photophobia, blurred vision?
Not conjunctivitis
Acute glaucoma
What red eye diagnosis shows clear discharge?
Viral and allergic
What red eye diagnosis shows gross discharge?
Bacterial
What red eye diagnosis shows enlarged lymph nodes?
Viral or chlamydia
Maybe Neisseria
What red eye diagnosis shows eruption of a dermatome?
Shingles
What is the most severe viral conjunctivitis?
Herpes simplex or zoster
What is the most most common cause of viral conjunctivitis with a URI?
Adenovirus
What is a common cause of hyper acute bacterial conjunctivitis?
N. gonorrhoeae or meningitidis
In neonates and sexually active young adults
What is the most common cause of bacterial conjunctivitis is children?
Strep
What is the most common cause of bacterial conjunctivitis is adults?
Staph
What the most common cause of chronic bacterial conjunctivitis?
Staph
What chlamydial serotypes are responsible for trachomas?
A-C
What chlamydial serotypes are responsible for inclusion conjunctivitis?
D-K
Sexually t
What is a trachoma?
Major cause of blindness in the world
Chronic Keratoconjuntivitis
What is the common presentation of inclusion conjunctivitis?
Sexually active
18-30years
Autoinoculation from genitals
Subacute or chronic
Foreign body sensation
Adenopathy
Mucopurulent discharge
What are some diagnostic test of conjunctivitis?
Less likely culture
ELISA
DNA probe
PCR
What is the treatment of chlamydial conjunctivitis?
Oral tetracycline, doxycycline or erythromycin
For two to three weeks
What is the treatment for hyperacute conjunctivitis?
Ceftriaxone IM
Plus topical eye antibiotic
What are some warnings of eye drops?
Don’t use steroids
Accelerate the infection
