NR 602 Midterm Exam What is a chalazion?(ANS- Benign, chronic lipogranulomatous inflammation of the eyelid
What causes a chalazion?(ANS- Blockage of the meibomian gland
What puts a person at risk for a chalazion?(ANS- Hordeolum or any condition which may impede flow through the meibomian gland.
Mite species that reside in lash follicles.
What are physical exam findings for a chalazion?(ANS- Painless Does NOT involve lashes Lid edema or palpable mass Red or grey mass on inner aspect of lid margin
What is prevention for chalazion?(ANS- Good eye hygiene
What is treatment for chalazion?(ANS- Warm, moist compresses 3x a day
If secondarily infected: sulfacetamide or erythromycin
What is the follow-up for chalazion?(ANS- In 2-4 weeks If still present after 6wks, follow up w/ophthalmologist
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What is blepharitis?(ANS- Inflammation/infection of the lid margins (chronic problem)
What are the two types of blepharitis?(ANS- Seborrheic (non-ulcerative) Ulcerative
What can cause seborrheic blepharitis?(ANS- Irritants (smoke, makeup, chemicals)
What are s/s of seborrheic blepharitis?(ANS- Chronic inflammation of eyelid Erythema Greasy scaling of anterior eyelid Loss of eyelashes Seborrheic dermatitis of eyebrows/scalp
What usually causes ulcerative blepharitis?(ANS- Infection w/staph or strep
What are s/s of ulcerative blepharitis?(ANS- Itching Tearing Recurrent styes Chalazia Photophobia Small ulceration at eyelid margin Broken/absent eyelashes
Most frequent complaint: ongoing eye irritation, conjunctiva redness
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What is the treatment for blepharitis?(ANS- Clean w/baby shampoo 2-4 times/day Warm compresses Lid massage (right after warm massage)
How are infected eyelids with blepharitis treated?
(ANS- Antistaph abx: bacitracin, erythromycin 0.05% x1 wk and quinolone
ointments
How is blepharitis infection resistant to topical abx treated?(ANS- Tetracycline 250mg PO x4 Doxy 100mg PO x2
What is conjunctivitis?(ANS- Inflammation or irritation of conjunctiva
What is the most common cause of conjunctivitis in peds?(ANS- Bacteria
What are some common causes of bacterial conjunctivitis?(ANS- Contact lenses Rubbing eyes Trauma
What are s/s of bacterial conjunctivitis?(ANS- Purulent (green/yellow) drainage, initially unilateral, then bilat
Sensation of FB is common
Redness
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