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Flashcards in peds26 Deck (15):
1

clinical features of keratoconjunctivitis

petechial conjunctival hemorrhage, preauricular lymphadenopathy, and a pseudomembrane along the conjunctiva; photophobia in 1/3 of patients; lack of fever or pharyngitis; highly contagious

2

management of epidemic keratoconjunctiviti

supportive, including cool compresses and NSAD drops

3

primary ocular herpes simplex virus

HSV-1; skin eruption with multiple vesicular lesions; corneal ulcer (rare)

4

diagnosis of primary ocular HSV

pos viral culture or direct fluorescent antibody staining of vesicular fluid

5

management of primary ocular HSV

systemic or topical acyclovir; topical antibiotics applied to skin can prevent secondary bacterial infection

6

allergic conjunctivitis

type 1 hypersens reaction; usually seasonal and accompanies seasonal allergic rhinitis;

7

treatment for allergic conjunctitivitis

topical mast cell stabilizing drops such as cromolyn; OR topical antihistamines

8

hemorrhagic conjunctivitis

presentation of pediatric red eye in which the child presents with both conjunctivitis and subconjunctival hemorrhage

9

causes of hemorrhagic conjunctivitis

h flu, adenovirus, and picornavirus

10

blepharitis

eye lid inflamm; one of the most common causes of red eye

11

usual cuase of blepharitis

staph aureus

12

clinical features of blepharitis

burning, crusting, and scales at the eye lash base; thickened and hyperemic eyelid margins; hx of waking in morning w eye lashes stuck together

13

management of blepharitis

eyelid hygiene; topical erythromycin ointment is also applied

14

nasolacrimal duct obstruction

failure of complete canalization of the lacrimal system; leads to obstruction to tear outflow; obstruction typically occurs distally at hasner's valve

15

clinical features of nasolacrimal duct obstruction

watery eye with increased tear lake; matted eyelashes; mucus in the medial canthal area; bilateral involvement (one third of patients)