Eye Disorders

Question 1

Sx of Bacterial Conjunctivitis

Answer 1

Purulent, eye crusting, difficulty opening eyes, not puritis, photophobia, begins unilaterally

Question 2

Keratitis

Answer 2

Inflammation of the cornea

Question 3

Bacterial conjunctivitis in newborns

Answer 3

chlamydia, all babies get erythromycin drops at birth

Question 4

Bacterial conjunctivitis in children <5yo

Answer 4

S. Pneumonia, H. Flu

Question 5

Conjunctivitis dx

Answer 5

Bulbar vs. palpebral; check vision, examine lymph nodes; clinical

Question 6

Viral conjunctivitis

Answer 6

Adenovirus, HSV, EBV, HZV; highly contagious

Question 7

Viral conjunctivitis sx

Answer 7

Watery discharge, morning crusting (but can open eyes)

Question 8

Viral conjunctivitis tx

Answer 8

Artificial tears, topical antihistamine

Question 9

HZV with ocular involvement

Answer 9

Indicated by lesion at tip of nose; tx with acyclovir/valacyclovir & refer

Question 10

Gonococcal conjunctivitis tx

Answer 10

Refer ASAP, to with ceftriazone 250 mg 1M + azythromycin 1 gm PO

Question 11

Herpes simplex keratitis

Answer 11

Most common corneal infection in U.S.

Question 12

Herpes simplex keratitis tx

Answer 12

Complicated; acyclovir/valacyclovir & steroids - refer!

Question 13

Orbital cellulitis sx

Answer 13

Local sinus infection, edema, erythema, vision loss, proposes, ophthalmologist, headache, fever, malaise

Question 14

Dacryocystitis

Answer 14

Inflammation of lacrimal sac

Question 15

Dacryocystitis tx

Answer 15

Warm compress & systemic abx