Student.Handout.HEENT (2)

His ocular the past 2 weeks since the spring season

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the past 2 weeks since the spring season began. His ocular the past 2 weeks since the spring season began. His ocular discomfort is worse when he is outdoors. What is the most discomfort is worse when he is outdoors. What is the most appropriate OTC agent for JM at this point in time? appropriate OTC agent for JM at this point in time? 1. Artificial tears: apply 1 to 2 drops in each eye PRN 2. Ketotifen fumarate 0.025%: apply 1 drop in each eye every 8 to 12 hours 3. Naphazoline + Pheniramine: apply 1 to 2 drops in each eye PRN up to QID 4. Loratadine 10mg PO daily
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21 Infectious Conjunctivitis Photo adopted from Jefferson Clinical Images via JEFFLINE Commonly referred to as “Pink eye” Commonly referred to as “Pink eye”
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22 Infectious Conjunctivitis Viral Caused by Adenovirus Highly contagious Self limiting 7 – 14 days Treatment focus is symptomatic relief Bacterial Rapid onset Purulent or greenish-yellow ocular discharge Requires referral and prescription antibiotic eye drops
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23 Viral Conjunctivitis Symptoms Conjunctival injection Pruritus Watery discharge Edema Photophobia Blurred vision “Crusting” of the eyelid Ocular discomfort, foreign sensation in eye Low-grade fever, swollen lymph nodes Photo adopted from:
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24 Conjunctivitis Treatment Viral conjunctivitis symptomatic relief Cool compress Artificial tears Ocular decongestants Nonpharmacologic Infectious precautions Maintain proper hygiene Avoid using contact lenses Photo adopted from:
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25 Blepharitis Photo adopted from Jefferson Clinical Images via JEFFLINE and
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26 Blepharitis Chronic eye condition characterized by eyelid inflammation Noninfectious or infectious Staph epidermidis, Staph aureus Seborrheic dermatitis Symptoms Itching and burning, foreign body sensation Red, scaly, swollen eyelids Purulent or ocular discharge Temporary loss of eyelashes
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27 Blepharitis Treatment goals Alleviate acute relief Control the disorder with good hygiene Warm compress with lid massage 2 to 4 times per day for 15 to 20 minutes Eyelid scrubs Polyethylene glycol 200 glyceryl monotallowate Eye Scrub ® , OcuSoft Pads ® Homemade diluted shampoo Limit use of eye make-up and avoid using contact lenses Photographs from:
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28 Hordeolum and Chalazion Photo adopted from Jefferson Clinical Images via JEFFLINE
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29 Hordeolum and Chalazion Hordeolum (“stye”) Staphylococcal infection of an eyelid gland Minor pain, tender, lid-margin redness Puss accumulation Chalazion (sterile granuloma) Appearance similar to internal hordeolum Noninfectious, fluid-filled Non-tender to touch
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30 Treatment Hordeolum and Chalazion Warm compresses and gentle massage 3 to 4 times per day for 5 to 10 minutes
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