Conjunctivitis

Question 1

What is a transparent mucous membrane that covers the inside of the lids and surface of the globe?

Answer 1

conjunctiva

Question 2

What is the most common reason that pt seek care for acute red eye?

Answer 2

conjunctivitis

Question 3

What are the two infectious causes of conjunctivitis?

Answer 3

viral and bacteria

Question 4

What are the two non infectious causes of conjunctivitis?

Answer 4

allergic and nonallergic

Question 5

What type presents as pink eye, itchy and watery, can affect one or both eyes?

Answer 5

viral conjunctivitis

Question 6

What is sticky yellow discharge that can cause the eye to be red and is spread by direct contact?

Answer 6

bacterial conjunctivitis

Question 7

What is red eye with nasal congestion, sneezing, eyelid swelling and sensitivity to light and both eyes affected?

Answer 7

allergic conjunctivitis

Question 8

What are the causative agents of bacterial conjunctivitis?

Answer 8

s. aureus, s. pneumo, h. flu, m. cat

Question 9

What type of bacterial conjunctivitis cause is more common in adults?

Answer 9

staph

Question 10

What is the clinical presentation of bacterial conjunctivitis?

Answer 10

rapid onset - red eye
unilateral but can be bi
thick white to yellow to green
eye shut
More severe conjunctivitis

Question 11

Where do you see exudates in bacterial conjunctivitis?

Answer 11

lid margins

Question 12

What causes hyperacute bacterial conjunctivitis?

Answer 12

neisseria gonorrhoeae

Question 13

What will pts with hyperacute bacterial conjunctivitis present with?

Answer 13

lid swelling, chemosis, preauricular adenopathy

Question 14

How do you treat a pt with hyperacute bacterial conjunctivitis?

Answer 14

hospitalization with ABX topically and orally

Question 15

What are the polymyxin B combos?

Answer 15

bacitracin
Neomycin/bacitracin
Trimethoprim

Question 16

What is macrolide eye drops?

Answer 16

azithromycin

Question 17

What causes viral conjunctivitis?

Answer 17

adenoviruses

Question 18

What is the drainage like in viral conjunctivitis?

Answer 18

crusting in am and then clearer as the day progresses

Question 19

What do pt have with viral infections, feeling wise?

Answer 19

scratchy or gritty

Question 20

How long can viral conjunctivitis last?

Answer 20

2 wks

Question 21

How do you treat viral conjunctivitis?

Answer 21

self limiting

Question 22

How does allergic conjunctivitis present?

Answer 22

gradual and less severe than b/v

Question 23

Is allergic conj uni or bilateral?

Answer 23

bilateral

Question 24

What causes allergic conj?

Answer 24

IgE mediated mast cell degranulation and release of histamine

Question 25

What is the main complaint with allergic conj?

Answer 25

itching

Question 26

What is the treatment of allergic conj?

Answer 26

olopatadine hydrochloride 0.1% olopatadine hydrochloride 0.2% Azelastine hydrochloride 0.05% Patanol, Pataday, Optivar

Question 27

What causes nonallergic conj?

Answer 27

chemical, FB, chemicals, makeup, lotions

Question 28

When is the only time you get cultures?

Answer 28

gonorrhea suspected

Question 29

What requires further investigation?

Answer 29

ocular pain, HA, FB, fixed pupils, vision changes