HEENT + Derm

Question 1

most likely etiology of conjuctivitis

Answer 1

viral (adenovirus type 3)

Question 2

Risk Factors for __________:
recent URI
exposure to sick

Answer 2

viral conjuctivitis

Question 3

CM of \_\_\_\_\_\_\_\_\_\_\_\_:
red eye - from corners inward
excessive watering/watery discharge
itching
photophobia
foriegn body or “gritty” sensation
begins in one eye & spreads to the other
ABRUPT onset
50% may have tender preauricular lymph nodes

Answer 3

viral conjuctivitis

Question 4

Management of ____________:
usually self-limiting with symptoms worsening for 3-5 days & resolution by 14days= supportive tx for symptom relief
artificial tears q4-6 hrs (throw bottle away after resolution)
COOL Compress
Good hand hygiene
don’t share towels
avoid contact lens use until resolved
discard used lenses/previously used eye make-up

Answer 4

viral conjuctivitis

Question 5

Transmission of ___________:

directly from hand-eye contact or transfer of organism (gram+ or gram-) from own nasal/sinus mucosa

Answer 5

bacterial conjuctivitis

Question 6

most common bacteria in adult bacterial conjuctivitis

Answer 6

Staph Aureus

Question 7

most common bacteria in pediatric bacterial conjuctivitis

Answer 7

Strep Pneumoniae & Haemophilus Influenzae

Question 8

CM of _____________:
Hyperacute onset (12-24 hrs) more abrupt
severe purulent discharge-neisseria gonorrhoeae
Red eye (corners inward)
Begins in one eye & spreads to the other within 48hrs
Blurred vision
Crust/matted discharge forming over eyelid overnight
early morning glued eyes
thick mucoid discharge
**Absence of itching

Answer 8

bacterial conjuctivitis

Question 9

Management of \_\_\_\_\_\_\_\_\_\_\_:
antibiotic drops or ointment for 7-10days (tobramycin, fluoroquinolone trimethoprim-polymixin B)
warm compresses
changing pillowcases daily
disposing of eye cosmetics
don’t share towels or handkerchiefs
good hand hygiene
contact lens cleaning (preferably disposal)

Answer 9

bacterial conjuctivitis