inflammation and ulcers Flashcards

1
Q

Corneal ulcers

are those in the centre or those in the periphery infectious? what is the basis of the other? examples

A

central corneal ulcers - infective

peripheral corneal ulcers - autoimmune e.g. RA, hypersensitivity, wegners

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2
Q

symptoms and signs of corneal ulcers

A
needle like pain 
photophobia
profuse lacrimation 
may be reduced vision 
corneal reflex abnormal
staining with fluorescin
hypopyon
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3
Q

treating corneal ulcers
bacterial?
viral?
autoimmune?

A

bacterial - ofloxacin
viral - acyclovir
autoimmune - steroids

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4
Q

eye condition associated with GOUT

A

episcleritis

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5
Q

what can cause anterior uveitis?

A

malignancy - leukaemia
autoimmune - reiters, ulc colitis, ank spond, sarcoiditis
infective - TB, syphilis, herpes simplex, herpes zoster

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6
Q

management of anterior uveitis

A
topical steroids (pred forte 1% hourly - tapering over 4-8 weeks)
mydriatics e.g. cyclopentolate
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7
Q

is scleritis painful?

serious or non serious?

A

painful

serious

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8
Q

what is scleritis associated with?

A

serious systemic vasculitides e.g. RA, wegners

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9
Q

violaceous hue

A

scleritis

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10
Q

treatment for scleritis

A

oral NSAIDs
oral steroids
steroid sparing agents

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11
Q

what types of patients commonly get idiopathic intracranial hypertension?
symptoms?

A

obese
severe throbbing headaches
drowsy, irritable, nausea, vomiting

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12
Q

subconjunctival haemorrhage
serious?
age group?

A

looks dramatic but not serious :)
goes away by itself
usually older patients

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13
Q

what is blepharitis?

A

inflamed eyelids

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14
Q

posterior blepharitis

A

mebaonian gland dysfunction

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15
Q

what is mebaonian gland dysfunction associated with?

A

acne rosacea

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16
Q

treatment of blepharitis

A

lid hygiene - daily bathing
tear drops
oral DOXYCYCLINE

17
Q

which involves infection of the lash follicle - seborrhoeic or staphylococcal anterior blepharitis

A

staphylococcal blepharitis involves infection the lash follicle

seborrhoeic blepharitis - scales on lashes