Eyelid/Conjunctival patients - Dr. Dobies Flashcards
True Primary Bacterial Conjunctivitis in non-ped/Senior patients implies ____________.
acquired immune dysfunction/deficiency
What is fluoroquinolones med?
antibiotics for both gram + and - bacteria. Treat bacterial conjunctivitis
What is chloramphencol med?
bacteriostatic antibiotics to treat bacterial conjunctivitis
How do you treat a patient with secondary bacterial conjunctivitis?
Azasite (Azithromycin) BID x 2d, qD x 5D, then Besivance (Besifloxacin) TID (Durasite)
soaks / scrubs / Massage / ATs to control
What medication would you prescript to kids who have primary bacterial conjunctivitis with bacterial upper respiratory tract infection (URI)?
amoxicillin/clavulanate is recommended for children who have clinical signs of bacterial URI likely caused by H.flu. adjust dosage by body weight: 1kg/2.2lbs
What is PCP stand for?
primary care physician
What is the management advise when treating a true Primary Bacterial conjunctivitis presumed secondary to URI in a child?
treat eh eye and refer for concurrent treatment of URI to pediatrician.
What is Betadine?
It’s antiseptic use for viral conjunctivitis/EKC patients. Not an Rx.
T/F VK/EKC can be associated with the history of URI.
True
How do you treat EKC?
After removing pseudomembranes/membranes, use Prednisolone phosphate (less irritating to cornea and less AC penetration than prednisolone acetate suspension) solution or loteprednol sol/gel
EKC Betadine-Protocol in ____ phase and earlier in ____ phase is maximally beneficial.
acute, acute
What medications to use for allergic conjunctivitis?
Fluorometholone (FML) - for non-infectious inflammation like allergies.
Fexofenadine - antihistamine
Most cases of conjunctivitis / keratoconjunctivitis (in the absence of lid disease) are not ________. They are most often ________.
bacterial. viral or allergic
Which conjunctivitis you see thin watery discharge?
allergic conjunctivitis
Which conjunctivitis has tender preauricular nodes?
Viral conjunctivitis
