1. A mother presents with her 3month old Probable lacrimal duct
child and complains of goopy eye that is obstruction.
sometimes matted shut after naps. Upon
exam the conjunctiva is clear with some mild -The baby will likely grow
crusting to eye lashes. What is the out if it somewhere
diagnosis and patient teaching? be- tween six and 12
months.
-You can do a dai-
ly lacrimal duct
massage and warm
compresses to help
open up the duct.
-Watch for Periorbital
cel- lulitis or bacterial
2. Nine-year-old patient presents with tender, conjunc- tivitis.
swollen, erythemic bump to eyelid. What is the
diagnosis and patient education? Hordeolum (stye)
-warm moist compress
-scrub eye lashes
with baby
shampoo BID
-eye will feel better
when stye pops, if
doesn't will refer to
optho.
3. What is blepharitis? inflammation of the
eye- lid
-caused by blocked
oil gland, allergies, or
exces- sive bacteria
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, NR 602 Final Exam Review Test.
4. What is the treatment for blepharitis? Cleanse with baby
sham- poo TID
-Warm, moist compress
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, NR 602 Final Exam Review Test.
-resistant can
prescribe Doxy or
Tertracycline but not
to pediatrics who
don't have adult teeth,
can cause
discoloration. Pedi-
5. A 9 year old patient presents with acute atrics can have
swelling and erythema to eyelid with flaky, Bactrim.
scaly debris to eye-
lid margins. Patient reports gritty, burning Patient has anterior ble-
feeling to eyes. She has already attempted pharitis
warm compresses and washing eyelids with
baby soap with minimal re- lief. What is the Treat with
diagnosis and treatment? erythromycin
ointment, ointment
has longer contact
with eye.
Can use azithromycin
oint- ment x 4 weeks
for long term
treatment
Can use doxycycline
or tetracycline for
chron- ic in kids >8
years or
Azithromycin oral for
kids
<8
6. What organism is likely to cause viral conjunctivitis?-Adenovirus
3/
58
, NR 602 Final Exam Review Test.
-HSV
-Herpes
7. What organism is likely to cause bacterial conjunctivi- -Staph
aureus
tis? -strep pneumoniae
-H. Influenza
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