Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

RTS: EAR, EYE and MOUTH > Red Eye > Flashcards

Red Eye Flashcards

1
Q

What types of conjunctivitis are there and list from most to least common?

A

1) Bacterial
2) Allergic
3) Viral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What 6 conditions need to be eliminated to diagnose conjunctivitis (no specific type)?

A
  • Sub conjunctival haemorrhage
  • Episcleritis
  • Scleritis
  • Keratitis
  • Uveitis
  • Acute closed-angle glaucoma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How would you distinguish between the different types of conjunctivitis?

A
  • Eyes affected V+A present with both but B presents with one eye affected first for 24-48 hours.
  • discharge: B = purulent, V = watery, A = watery
  • Pain: B = Gritty, V = Gritty, A = Itchy
  • Distribution: B = generalised and diffuse, V = Generalised, A = Generalised but greatest at fornices
  • Associated symptoms: B = none, V = cough and cold symptoms, A = rhinitis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What hygiene measures should you provide a patient who is diagnosed with bacterial conjunctivitis?

A

-Hygiene: Cleaning eyelids with cotton wool soaked in sterile saline or boiled and cooled water to remove any discharge. when cleaning the eye, wipe the eye from the bridge of the nose to the outer corner of the eye with a fresh piece of cotton wool.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How would you minimise the spread of infection to self and others when diagnosed with bacterial conjunctivitis?

A

Avoid sharing towels, facecloths, discard contaminated makeup etc..

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is a typical duration of bacterial conjunctivitis and what should you inform the patient regarding infection timeframe?

A
  • will last 5 to 7 days
  • self limiting
  • If no better after typical duration or if any red eye referral criteria develop seek medical attention
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the red eye referral criteria?

A
  • Clouding of the cornea associated with vomiting
  • Redness caused by a foreign body
  • irregular shaped pupil or abnormal pupil reaction to light
  • photophobia
  • true eye pain
  • distortion of vision
  • redness localised around the pupil
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the supply restrictions for chloramphenicol?

A
  • cant be used in pregnancy

- must be over 2 years old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Patient is diagnosed with bacterial conjunctivitis and wears contact lenses, what is the most suitable course of action?

A

-patient should seek advice from either their optician or doctor BEFORE using OTC chloramphenicol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the questions that have to be asked to achieve a diagnosis of bacterial conjunctivitis and what are the intended responses?

A

1) is redness generalised? Yes
2) Level of pain in the eye? Discomfort
3) type of discharge? Purulent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the questions that have to be asked to achieve a diagnosis of viral conjunctivitis and what are the intended responses?

A

1) is redness generalised? Yes
2) Level of pain in the eye? Discomfort
3) type of discharge? watery
4) Seasonal variation? No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Patient presents with red left eye, redness appeared quite quickly and has no other symptoms, what is the most likely diagnosis?

A

Sub-conjunctival haemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Patients presents with redness of eye at the pupil, no recent history of trauma and not a contact lens wearer, pain in the eye, vision is impaired with patient seeing haloes around light. what would be a suitable diagnosis in this patient

A

Acute closed-angle glaucoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Discuss the presentation of episcleritis?

A
  • affects one eye in majority of cases
  • usually painless
  • more common in young women
  • self limiting (2-3 weeks but may take 6-8 weeks)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how does scleritis differ from episcleritis?

A

scleritis

  • painful
  • associated with autoimmune disorders (rheumatoid arthritis)
  • blurred vision
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Based solely on epidemiology which is the least likely to be seen in a community pharmacy?

1) Viral conjunctivitis
2) Scleritis
3) Uveitis
4) Sub-conjunctival haemorrhage
5) Episcleritis

A

Uveitis

17
Q

How long would you expect it for these conditions to resolve?

1) Episcleritis
2) Sub-conjunctival haemorrhage
3) Bacterial Conjunctivitis

A

1) episcleritis: 2-3 weeks but may take up to 6-8 weeks
2) Sub-conjunctival haemorrhage: 10-14 days
3) Bacterial conjunctivitis: 5-7 days without treatment

18
Q

What are the dosing instructions for chloramphenicol eye drops?

A
  • One drop instilled into infected eye every 2 hours for first 48 hours and 4 hourly thereafter.
  • to be used during waking hours only
  • 5 day course but if no improvement within first 48 hours of use discontinue and seek medical advice
19
Q

Chloramphenicol eye drops and ointment storage instructions?

A 
EYE DROPS
-Store in fridge
-remove from fridge allow to reach room temperature to avoid drops being uncomfortable.
Eye ointment
-Store in a cool dry place
20
Q

Should children with bacterial conjunctivitis stay off school?

A

NO

RTS: EAR, EYE and MOUTH (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions