NUR 5335 FAMILY 2 STUDY
GUIDE NODULES 12
Non-Ulcerative: A/W seborrhea; seen commonly with trisomy 21; affects
those with psoriasis, seborrhea, eczema, allergies and lice. Chemical and
environmental irritants contribute
Ulcerative:Involves the lash follicle & the Meibomian glands of the ...
NUR 5335 FAMILY 2 STUDY
GUIDE NODULES 1\2
2023\2024
,Non-Ulcerative: A/W seborrhea; seen commonly with trisomy 21; affects
those with psoriasis, seborrhea, eczema, allergies and lice. Chemical and
environmental irritants contribute
Ulcerative:Involves the lash follicle & the Meibomian glands of the
eyelid.May be pustules at the base of the hair follicle that crust &
bleed.Lashes break easy.
Blepharitis
Blepharitis treatment
TX: Warm compress; daily lid scrubs; erythromycin, quinolone or bacitracin
ophthalmic ointment for anterior blepharitis.
Consider oral ABX for resistance (Doxycycline or Tetracycline)
Disinfect contacts
Lid massages
hordeolum age group?
More common in children and adolescents
Not studied (161)
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hordeolum s/s?
Localized tenderness, erythema, edema of eyelids; internal lesions pointing
to external or internal eyelid surface; external lesions pointing to eyelid
margin
Pain
,Ocular rosacea
Contact dermatitis,
Atopic Kerato-conjunctivitis,
Herpes simplex infection,
Preseptal cellulitis,
Acute dacryocystitis,
differentials of hordeolum
differentials of hordeolum
blepharitis
Sebaceous carcinoma,
Basal cell carcinoma,
Squamous cell carcinoma,
Dry eye syndrome,
Conjunctivitis,
blepharitis
Ocular burning, eyelid margins red w/ scaling or crusting
Pain
Itching, tearing, chalazia, recurrent styes, photophobia, small ulceration at
eyelid margin, broken or absent eyelashes
hordeolum
(stye) red, painful pustule that is a localized infection of hair follicle at eyelid
margin. The most common associated organism is Staphylococcus aureus
, TX: Warm compress; lid scrubs for recurrent lesions
Hordeolum tx
chalazion
a nodule or cyst, usually on the upper eyelid, caused by an obstruction in a
sebaceous gland A granulomatous infection of a Meibomian gland
Nontender chronic lesions; bump
Chalazion is More common in adults and S?S
TX: Warm compress; daily lid scrubs; lid message; intralesional steroid
injection
Chalazion
Conjunctivitis
Refer to ophthalmology for
viral herpetic conjunctivitis w/RED FLAGS
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