Update) Differential Diagnosis in Acute Care|
Questions with Verified Answers | 100% Correct
| Grade A – Chamberlain.
Question:
Uveitis?
Answer:
Inflammation of the uveal tract of the eye, including the iris, ciliary body,
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and choroid. It may be characterized by an irregularly shaped pupil,
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inflammation around the cornea, pus in the anterior chamber, opaque i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
deposits on the cornea, pain, and lacrimation. The most common form of
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uveitis is iritis. Symptoms include: redness, pain, light sensitivity, blurred
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vision.
- REFER - Uveitis is associated with loss of vision from retinal scarring;
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referral to ophthalmology is appropriate.
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Question:
Chalazion?
Answer:
An inflamed nodule (lump) that develops on the eyelid. Chalazia are
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caused by the bacterial infection of glands in the eyelid. The infection may
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result from poor hygiene or an existing skin condition affecting the face,
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,such as rosacea. Chalazia vary in size and location in the eyelid,
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depending on which type of gland is obstructed. i,- i,- i,- i,- i,- i,- i,- i,-
When a sebaceous gland in the eyelid becomes infected, bacterial and
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oily secretions initiate an inflammatory response that blocks the gland and
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causes a rounded bump to form.
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Superficial chalazia form when glands along the edge of the eyelid
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become infected and blocked. i,- i,- i,- i,-
Deep chalazia form when meibomian glands in the conjunctival portion of
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the eyelid (lid lining) become infected and blocked.
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Chalazia are usually painless. i,- i,- i,-
- TREAT - Treatment involves warm compresses and massage to promote
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drainage. Chalazions disappear without treatment within several weeks to
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a month, although they often recur. Surgical excision may be required if
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not resolved or if complications are present.
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Question:
Chalazion Etiology? i,-
Answer:
Caused by thickening of the fluid in the oil glands (meibomian glands) of
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the eyelid. Most commonly occurs on the UPPER eyelid, but can also
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affect the lower eyelid.
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More common in adults than children; most frequently occurs in people
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30-50
,Question:
Chalazion HPI? i,-
Answer:
- Small red and swollen area of the eyelid forms a painless, slow-growing
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lump the size of a pea.
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- Gradual onset over several weeks.
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- Tearing and mild irritation may result as the obstructed glands are
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needed for healthy tears. i,- i,- i,-
- Blurred vision occurs if the chalazion is large enough to press against
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the eyeball.
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- Rarely, may be an indication of an infection or skin cancer.
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- Risk Factors: Acne rosacea, chronic blepharitis, seborrhea, tuberculosis,
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and viral infection.
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- Assess for symptoms and the presence of any possible contributing
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general health problems. i,- i,-
Question:
Chalazion Exam Findings? i,- i,-
Answer:
- The eyelid will be diffusely swollen.
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- Within 1-2 days, a small non-tender nodule or lump develops.
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- A chalazion usually drains through the inner surface of the eyelid or is
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absorbed spontaneously over 2-8 weeks. i,- i,- i,- i,-
, Question:
Hordeolum (Stye)? i,-
Answer:
The infection, and subsequent inflammation, of the eyelid. Though
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infection can occur on either the outer or inner part of the eyelid, the
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term "stye" commonly refers to an infected eyelash follicle on the external
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part of the eyelid.
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After the initial infection, pus builds up in the eyelash follicle. The stye will
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continue to grow and swell for a few days before it eventually bursts and
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drains. Most styes heal on their own, but in rare occurrences, the pus may
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harden and progress into chalazion.
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- TREAT - Treatment involves warm compresses. The condition is usually
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self-limiting and resolves on its own. If there is evidence of associated
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abscess or cellulitis, topical or oral antibiotics may be required.
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Question:
Hordeolum (Stye) Etiology? i,- i,-
Answer:
Caused by a bacterial infection in the oil-producing glands of the eyelid.
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Question:
Hordeolum (Stye) HPI? i,- i,-