Common ENT-External Eye

20 cards·by tatiana05

Definition of Blepharitis

Inflammation of the lid margin in the area of the lash follicles

Etiology of Blepharitis

Bacterial-Staph aureus, Seborrheic dermatitis or dandruff

Clinical presentation of Acute Blepharitis

Painful eyelids, swelling, mucopurulent discharge, erythema and loss of eye lashes

Clinical presentation of Chronic Blepharitis

Painful eyelids associated with dandruff/seborrhea, mild swelling and erythema, scaling and loss of lashes

Physical exam for Blepharitis

Visual acuity, external eye exam, pre-auricular adenopathy

Treatment of Blepharitis

Hot compress, wash with diluted baby shampoo

Antibiotic for Blepharitis

Staph-bacitracin, erythromycin, tetracycline

Complications of Blepharitis

Hordeolum, scarring of eyelid margin, corneal infection

Definition of Chalazion

Focal chronic inflammation of the meibomian gland

Etiology of Chalazion

From obstructed meibomian gland, infection of meibomian gland, result of chronic hordeolum

Clinical presentation of Chalazion

Hard, nontender nodule, lid swelling, pain and tenderness w/possible infection

Physical exam for Chalazion

Visual acuity, external eye exam, pre-auricular adenopathy

Treatment of Chalazion

Large or infected require warm, moist compress, erythromycin, polymyxin B, no response to treatment needs referral

Definition of Hordeolum

Acute inflammation of the follicle of an eyelash or the sebaceous gland along the lid margin

Etiology of Hordeolum

Staph aureus

Physical exam for Hordeolum

Visual acuity, external eye exam, pre-auricular adenopathy

Treatment of Hordeolum

Warm, moist compresses, cleanse with milf soap, erythromycin, polymyxin, Referral

Bacterial Etiology of Conjunctivitis

Staph aureaus, strep pneumoniae, haemophilus

Viral Etiology of Conjunctivitis

URI, contaminated swimming pools, adenoviruses, adenopharygeal conjunctivitis, epidemic kerato- conjunctivitis, herpes simplex/zoster

Symptoms of Conjunctivitis

Acute onset, mild irritation, mild photophobia, excessive lacrimation, normal vision