CLIN MED EYES QUESTIONS With 100%
Complete Solutions
What is SIRS criteria?
Need 2/4:
HR>90
36<Temp>38
RR>20 or PaCO2<32mmHg
WBC>12
What are the clinical features of a Hordeolum (stye)?
-Localized, erythematous, edematous and often painful lesion on the eyelid margin
may be external (gland of Zeis) or internal (Meibomian gland).
What organism commonly causes a Hordeolum?
Staphylococcus aureus infection of sebaceous glands.
How is a Hordeolum treated?
- Warm compresses
- eyelid hygiene
-incision if no improvement after 48 hours.
-topical bacitracin or erythromycin ointment q3h
,What are the clinical features of a Chalazion?
Hard, non-tender swelling on the eyelid margin
often follows an internal hordeolum.
What causes a Chalazion?
Granulomatous inflammation of a Meibomian gland (noninfectious)
How is a Chalazion treated?
- Warm compress
- incision and curettage if persistent after 2-3 weeks
corticosteroid injection may help
What are the clinical features of Blepharitis?
Chronic bilateral inflammation of the eyelid margins causing:
- irritation
- itching
- burning
- entropion common
- possible frothy or greasy tear film
ANTERIOR
- red-rimmed lids
,- scales on lashes.
POSTERIOR
- hyperemic w/ telangiectasis
What organisms or conditions cause Blepharitis?
ANTERIOR
Staphylococcus aureus (ulcerative form) or seborrhea
POSTERIOR
rosacea-associated Meibomian gland inflammation.
What is the treatment for anterior Blepharitis?
- Lid hygiene with baby shampoo eyelid massage
- warm compress
- AB for acute exacerbations (bacitracin, erythromycin likely)
What is the treatment for posterior Blepharitis?
- warm compresses
- antibiotics for inflammation of cornea or conjunctiva
(tetracyclines or macrolides)
What are complications of Blepharitis?
- Recurrent conjunctivitis
- hordeola or chalazia
, - Abnormal lid or lash positions
- Epithelial keratitis of the lower third of the cornea
- Marginal corneal infiltrates
- nferior corneal vascularization and thinning
What is the clinical presentation of Entropion?
Inward turning of the eyelid lower > upper
- possibility of lashes to rub against the cornea
What causes Entropion?
- Age-related degeneration
- excessive conjunctival/tarsal scarring.
How is Entropion treated?
Surgical correction if lashes touch the cornea
-Botox may be helpful for lower lid
What are the clinical features of Ectropion?
Outward turning of the lower eyelid
What causes Ectropion?
Advanced age-related eyelid laxity or facial nerve weakness.
How is Ectropion treated?
Complete Solutions
What is SIRS criteria?
Need 2/4:
HR>90
36<Temp>38
RR>20 or PaCO2<32mmHg
WBC>12
What are the clinical features of a Hordeolum (stye)?
-Localized, erythematous, edematous and often painful lesion on the eyelid margin
may be external (gland of Zeis) or internal (Meibomian gland).
What organism commonly causes a Hordeolum?
Staphylococcus aureus infection of sebaceous glands.
How is a Hordeolum treated?
- Warm compresses
- eyelid hygiene
-incision if no improvement after 48 hours.
-topical bacitracin or erythromycin ointment q3h
,What are the clinical features of a Chalazion?
Hard, non-tender swelling on the eyelid margin
often follows an internal hordeolum.
What causes a Chalazion?
Granulomatous inflammation of a Meibomian gland (noninfectious)
How is a Chalazion treated?
- Warm compress
- incision and curettage if persistent after 2-3 weeks
corticosteroid injection may help
What are the clinical features of Blepharitis?
Chronic bilateral inflammation of the eyelid margins causing:
- irritation
- itching
- burning
- entropion common
- possible frothy or greasy tear film
ANTERIOR
- red-rimmed lids
,- scales on lashes.
POSTERIOR
- hyperemic w/ telangiectasis
What organisms or conditions cause Blepharitis?
ANTERIOR
Staphylococcus aureus (ulcerative form) or seborrhea
POSTERIOR
rosacea-associated Meibomian gland inflammation.
What is the treatment for anterior Blepharitis?
- Lid hygiene with baby shampoo eyelid massage
- warm compress
- AB for acute exacerbations (bacitracin, erythromycin likely)
What is the treatment for posterior Blepharitis?
- warm compresses
- antibiotics for inflammation of cornea or conjunctiva
(tetracyclines or macrolides)
What are complications of Blepharitis?
- Recurrent conjunctivitis
- hordeola or chalazia
, - Abnormal lid or lash positions
- Epithelial keratitis of the lower third of the cornea
- Marginal corneal infiltrates
- nferior corneal vascularization and thinning
What is the clinical presentation of Entropion?
Inward turning of the eyelid lower > upper
- possibility of lashes to rub against the cornea
What causes Entropion?
- Age-related degeneration
- excessive conjunctival/tarsal scarring.
How is Entropion treated?
Surgical correction if lashes touch the cornea
-Botox may be helpful for lower lid
What are the clinical features of Ectropion?
Outward turning of the lower eyelid
What causes Ectropion?
Advanced age-related eyelid laxity or facial nerve weakness.
How is Ectropion treated?
