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Ophthalmology > Conjunctival Disorders > Flashcards

Conjunctival Disorders Flashcards

1
Q

Acute onset. Diffuse erythema, preauricular and anterior cervical lymphadenopathy

A

Viral conjunctivitis

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2
Q

Common cause of viral conjunctiva?

A

Adenovirus

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3
Q

Viral Conjunctiva TX

A

Commonly self-limiting
Topical sulfa or neomycin
PolyTrim eye drops
Erythromycin ointment

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4
Q

Intense, bilateral pruritis, mild injection, stringy discharge

A

Allergic Conjunctiva

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5
Q

Profuse, purulent discharge, upper + lower lid edema, tender preauricular lymphadenopathy, tender to palpation

A

Neisseria Conjunctiva

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6
Q

How is neisseria conjunctivitis transmitted?

A

Genitalia to hands to eyes

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7
Q

Neisseria conjunctivitis TX

A

IM ceftriaxone
Doxycycline (avoid in kids/pregnancy)

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8
Q

Severe neisseria conjunctivitis TX

A

Admit to hospital

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9
Q

Neisseria conjunctivitis follow up

A

Retest in 3 mos

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10
Q

How does Neisseria appear on a gram stain?

A

Gram (-) diplococci

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11
Q

4 y.o. PX, mucopurulent discharge, mild conjunctivitis, entropion, eyelash abrasions

A

Chlamydia Conjunctivitis

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12
Q

RIsk factors for chlamydia conjunctivitis

A

Poor access to water
Children < 5 y.o.
Overcrowding
Flies

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13
Q

Chlamydia conjunctivitis TX

A

1x dose of Azithromycin PO
Topical tetracycline

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14
Q

Chlamydia conjunctivitis preventative TX

A

Erythromycin ointment at birth
Ocular/facial hygiene

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15
Q

Excessive mucous, FB sensation, dry eye, irritation that worsens as the day goes on

A

Keratoconjunctivitis sicca

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16
Q

Schirmer test: what is it? what is it used for?

A

Punctate staining of cornea w/ fluorescein dye
Used to dx dry eye

17
Q

Keratoconjunctivitis sicca TX

A

Restasis
Artificial tears

18
Q

Elevated fleshy conjunctival masses on nasal side of conjunctiva, confined to conjunctival area

A

Pinguecula

19
Q

What causes pinguecula?

A

Chronic exposure to dry, windy conditions

20
Q

Pinguecula TX

A

No tx necessary

21
Q

Acute engorgement of episcleral vessels, diffuse erythema, dull ache, no discharge or corneal involvement

A

Episcleritis

22
Q

Episcleritis TX

A

Refer to ophthalmology
Most cases are self-limiting
Cold compresses

23
Q

Bright/dark red patch on white of eye, no other symptoms

A

Subconjunctival hemorrhage

24
Q

What causes subconjunctival hemorrhage?

A

Small blood vessels of conjunctiva break spontaneously from injury

25
Q

Subconjunctival hemorrhage TX

A

Self-limiting/no TX

26
Q

Discoloration over cornea/iris, asymptomatic otherwise

A

Melanoma

27
Q

What is the most common primary tumor of the eye in adults?

A

Melanoma

Ophthalmology (10 decks)

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