2: Conjunctivitis Flashcards

(48 cards)

1
Q

Define conjunctivitis

A

Inflammation of the conjunctiva

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the most common ophthalmological complaint in primary care

A

Conjunctivitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How can the causes of conjunctivitis be divided

A

Infectious (Viral + Bacterial)
Allergic
Chemical
Autoimmune

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the most common infectious cause of conjunctivitis

A

Adenovirus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the most common type of conjunctivitis

A

Allergic conjunctivitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is allergic conjunctivitis usually associated with

A

Allergic rhinitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what chemical usually causes conjunctivitis

A

Silver nitrate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

when may conjunctivitis be seen in autoimmune conditions

A

Steven-Johnson syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

in infectious conjunctivitis how will the eye present

A
  • Red
  • Discharge (varies if bacterial/viral)
  • Gritty sensation
  • No photophobia
  • No loss of vision
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

describe discharge in viral conjunctivitis

A

Watery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

describe discharge in bacterial conjunctivitis

A

Sticky

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

describe presentation of allergic conjunctivitis

A

Bilateral
Conjunctival oedema
Conjunctival erythema
Itchy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the 5 most common bacterial causes of conjunctivitis

A
  1. Staphylococcus epidermis
  2. Staphylococcus aureus
  3. S. pneumonia
  4. H, Influenza
  5. N. Gonorrhoea
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How does bacterial conjunctivitis present

A

Unilateral
Thick mucopurulent discharge
Extra-ocular signs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How will gonococcal conjunctivitis present

A

Unilateral
Thick mucopurulent discharge
Eye lid swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How will chlamydia conjunctivitis present

A

Mucopurulent discharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are two causes of viral conjunctivitis

A

HSV

Adenovirus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the most common cause of viral conjunctivitis

A

Adenovirus (80%)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How will viral conjunctivis present

A

Bilateral (one-eye spreads to other)
Watery discharge
Normal vision
Conjunctival follicles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are conjunctiva follicles

A

Yellow-appearing hyperplasia of lymphatic follicle tissue

21
Q

Describe the onset of gonococcal neonatal conjunctivitis

22
Q

How will gonococcal neonatal conjunctivitis present clinically

A

Chemosis

Mucopurulent discharge

23
Q

What investigations are performed for neonatal gonococcal conjunctivitis

A

Swab or scrapings for giemsa stain and MC+S

24
Q

What is used to treat neonatal gonococcal conjunctivitis

25
Describe symptom onset of chlamydia neonatal conjunctivitis
Sub-acute: 4-28d
26
How does chlamydia neonatal conjunctivitis present clinically
- Mucopurulent discharge | - Papillae
27
How is neonatal chlamydia conjunctivitis investigated
Swabs for immunofluorescence and giemsa staining
28
How is neonatal chlamydia conjunctivitis treated
Erthromycin
29
How is conjunctivitis normally diagnosed
clinically
30
What is second line for conjunctivitis
conjunctival scrapings
31
When are conjunctival scrapings considered
if persistent or severe disease (eg. ulceration)
32
What are conjunctival scrapings sent for in suspected viral causes
PCR
33
What are conjunctival scrapings sent for in suspected bacterial causes
MC+S
34
What is first line for allergic conjunctivitis
Topical antihistamines
35
What are topical antihistamines called
Opatanol
36
What is second-line for managing allergic conjunctivitis
Topical mast cell stabilisers (sodium cromoglicate)
37
Name a topical mast cell stabiliser
sodium cromoglicate
38
What is first-line for infective conjunctivitis
advice
39
What advice is given to prevent spread of infectious conjunctivitis
- do not share towels - hand washing - clean the eye with saline-soaked cotton wool
40
Explain school exclusion for infectious conjunctivitis
children should not be excluded from school unless outbreak
41
Explain health care workers with conjunctivitis
should avoid work
42
What should be avoided in conjunctivitis
contact lenses
43
When are antibiotics given in conjunctivitis
if symptoms have persisted beyond 3 DAYS
44
What antibiotics are given for infectious conjunctivitis
topical chloramphenicol
45
What is a contraindication to topical chloramphenicol
pregnancy
46
What is given as an alternative to topical chloramphenicol in pregnancy
topical fusidic acid
47
in what time frame does bacterial conjunctivitis resolve
5-7d
48
in what time frame does viral conjunctivitis resolve
1-3W