FNU NM 703 Primary Care Ears Eyes Nose Throat
questions well answered to pass
1. Inflammation of the eyelids Blepharitis
2. Donna is a 68 year old single, homeless woman who is Blepharitis
Example clini- being examined before entering a shelter. The NP
dis- cal presentation covers that in addition to mild seborrhea,
Donna has
an inflammation of her eyelids that affects
only the eyelash hair follicles. There is no
ulceration or masses in the eyelids and the
pre-auricular lymph nodes are non-palpable.
3. Ïkey treatment is hygiene. treatment
Ïwarm moist compresses to the eye lid for 5 -
10 minutes to try to soften the crusting if 5. ÏCommerci
any. l scrubs ar
ÏLid scrub with qtip and diluted baby expensive;
shampoo dilute baby
Ïartificial tears can be used to help alleviate sham- poo
dry eyes. and clean
both eyelid
4. ÏThe difference is the causative agent. with a q-tip
ÏAnterior blepharitis can be caused by
seborrhea or staphylococcal infection.
ÏFor anterior non seborrheic blepharitis,the 6. ÏSeborrheic
patient will need antibiotics such as Tobramycin blepharitis
0.3% eye so- lution apply to both eyes four is non
contagious
times a day. This is a good choice for initial
1/
67
,FNU NM 703 Primary Care Ears Eyes Nose Throat
questions well answered to pass
How should Blepharitis be treated whwn there is no infection?
How would the treatment ditter in the presence of an anterior non
seborrhe- ic blepharitis?
What solution can be used for lid scrubs for patient w/ limited resources?
2/
67
,FNU NM 703 Primary Care Ears Eyes Nose Throat
questions well answered to pass
Is seborrheic
blepharitis condition
infectious?
7. An acute infection of one of the glands in
the eyelid most commonly associated with Hordeolum
Staphylococcus au- reus.
8. Maria is a 21 year old who is 14 weeks
estimated weeks gestation (EGA) in her third Example Clinical
pregnancy. During her prenatal visit today she presen- tation of
tells her CNM that she has a gradually Hordeolum
enlarging red, painful lump near the edge of
her lower eyelid of her right eye that looks like
a pimple.
9. painful?
Blurred What additional
vision? history does the
CNM need in order
any errythema noted around
to safely treat the
lid dry eyes?
hordeolum?
10. Ïself-limiting Bacterial infection- S. Aureus
typically Describe pharmacologic
Ïconservative management with warm most compres- management
of Horde-
sives 3-4 x/day to hasten drainage ’should ÏRefer to
resolve within 1-2 weeks opthamolo
Ïmassage gist if no
Ïlid hygiene with lid scrubs/ baby soaps improvem
3/
67
,FNU NM 703 Primary Care Ears Eyes Nose Throat
questions well answered to pass
nt within 1-2 week olum.
11. A chronic, sterile, lipogranulomatous inflammatory le- chalazion
sion of the meibomian gland.
4/
67
questions well answered to pass
1. Inflammation of the eyelids Blepharitis
2. Donna is a 68 year old single, homeless woman who is Blepharitis
Example clini- being examined before entering a shelter. The NP
dis- cal presentation covers that in addition to mild seborrhea,
Donna has
an inflammation of her eyelids that affects
only the eyelash hair follicles. There is no
ulceration or masses in the eyelids and the
pre-auricular lymph nodes are non-palpable.
3. Ïkey treatment is hygiene. treatment
Ïwarm moist compresses to the eye lid for 5 -
10 minutes to try to soften the crusting if 5. ÏCommerci
any. l scrubs ar
ÏLid scrub with qtip and diluted baby expensive;
shampoo dilute baby
Ïartificial tears can be used to help alleviate sham- poo
dry eyes. and clean
both eyelid
4. ÏThe difference is the causative agent. with a q-tip
ÏAnterior blepharitis can be caused by
seborrhea or staphylococcal infection.
ÏFor anterior non seborrheic blepharitis,the 6. ÏSeborrheic
patient will need antibiotics such as Tobramycin blepharitis
0.3% eye so- lution apply to both eyes four is non
contagious
times a day. This is a good choice for initial
1/
67
,FNU NM 703 Primary Care Ears Eyes Nose Throat
questions well answered to pass
How should Blepharitis be treated whwn there is no infection?
How would the treatment ditter in the presence of an anterior non
seborrhe- ic blepharitis?
What solution can be used for lid scrubs for patient w/ limited resources?
2/
67
,FNU NM 703 Primary Care Ears Eyes Nose Throat
questions well answered to pass
Is seborrheic
blepharitis condition
infectious?
7. An acute infection of one of the glands in
the eyelid most commonly associated with Hordeolum
Staphylococcus au- reus.
8. Maria is a 21 year old who is 14 weeks
estimated weeks gestation (EGA) in her third Example Clinical
pregnancy. During her prenatal visit today she presen- tation of
tells her CNM that she has a gradually Hordeolum
enlarging red, painful lump near the edge of
her lower eyelid of her right eye that looks like
a pimple.
9. painful?
Blurred What additional
vision? history does the
CNM need in order
any errythema noted around
to safely treat the
lid dry eyes?
hordeolum?
10. Ïself-limiting Bacterial infection- S. Aureus
typically Describe pharmacologic
Ïconservative management with warm most compres- management
of Horde-
sives 3-4 x/day to hasten drainage ’should ÏRefer to
resolve within 1-2 weeks opthamolo
Ïmassage gist if no
Ïlid hygiene with lid scrubs/ baby soaps improvem
3/
67
,FNU NM 703 Primary Care Ears Eyes Nose Throat
questions well answered to pass
nt within 1-2 week olum.
11. A chronic, sterile, lipogranulomatous inflammatory le- chalazion
sion of the meibomian gland.
4/
67
