NUR602_MIDTERM_study_guide
2020
MIDTERM STUDY GUIDE.
GOODGRADES.
MIDTERM STUDY GUIDE: PART-1
TOPICS Covered
o Chalazions
o Blepharitis
o
... [Show More] Conjunctivitis
o Hand-foot-mouth syndrome
o Strep pharyngitis
o Kawasaki disease
o Rheumatic fever
o Milia
o Port-wine stain/Nevus flammeus
o Salmon patch
o Café-au lait spot
o Impetigo
o Molluscum Contagiosum
o Verruca Vulgaris
o Herpetic Whitlow
o Hemanginoma
o Otitis media
o Otitis Externa
CHALAZIONS – Benign, chronic lipogranulomatous inflammation of the eyelid
Causes – blockage of the meibomian cyst
Risk – hordeolum or any condition which may impede flow through the meibomian gland. Also mite species that
reside in lash follicles
Assessment – PAINLESS, NOT INVOLVING LASHES
Lid edema, or palpable mass
Red or grey mass on the inner aspect of lid margin
Prevention – good eye hygiene
Treatment – warm, moist compresses 3x per day
Antibiotics not indicated because chalazion is granulomatous condition, if secondarily infected
consider SULFACETAMIDE, ERYTHROMYCIN
Follow up – 2-4 weeks, if still present after 6 weeks follow up with ophthalmologist
BLEPHARITIS – Inflamation/infection of the lid margins (chronic problem)
2 types – seborrheic (non ulcerative) : irritants (smoke, make up, chemicals)
s&s – chronic inflammation of the eyelid, erythema, greasy scaling of anterior eyelid, loss of
eyelashes, seborrhea dermatitis of eyebrows and scalp
Ulcerative- infection with staphylococcus or streptococcus
s&s – itching, tearing, recurrent styes, chalazia, photophobia, small ulceration at
eyelid margin, broken or absent eyelashes
● the most frequent complaint is ongoing eye irritation and conjunctiva redness
Treatment – clean with baby shampoo 2-4 times a day, warm compresses, lid massage (right after warm compress)
For infected eyelids – antistaphyloccocal antibiotics BACITRACIN, ERYTHROMYCIN 0.05% for 1 week AND
QUIONOLONE OINTMENTS
For infection resistant to topical – TETRACYCLINE 250 MG PO X4
DOXYCYCLINE 100 MG PO X2
CONJUCTIVITIS – inflammation or irritation of conjucti [Show Less]