NURS 5335 family 2 Study Guide EENT
Family Nursing II Modules 1&2
1. 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
2. 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
3. hordeolum age group?: More common in children and adolescents
4. hordeolum s/s?: Localized tenderness, erythema, edema of eyelids; internal
pointing to
lesions pointing to external or internal eyelid surface; external lesions
eyelid margin
Pain
5. Ocular rosacea
Contact dermatitis,
Atopic Kerato-conjunctivitis,
Herpes simplex infection,
Preseptal cellulitis,
Acute dacryocystitis,: differentials of hordeolum
6. differentials of hordeolum: blepharitis
Sebaceous carcinoma,
Basal cell carcinoma,
,Squamous cell carcinoma,
Dry eye syndrome,
Conjunctivitis,
7. blepharitis: Ocular burning, eyelid margins red w/ scaling or crust
Pain
Itching, tearing, chalazia, recurrent styes, photophobia, small ulcerat
f hair follicle
margin, broken or absent eyelashes coccus aureus
8. hordeolum: (stye) red, painful pustule that is a localized infection o
at eyelid margin. The most common associated organism is Staphylo
, 9. TX: Warm compress; lid scrubs for recurrent lesions: Hordeolum tx
10. chalazion: a nodule or cyst, usually on the upper eyelid, caused b y an obstruc-
tion in a sebaceous gland A granulomatous infection of a Meibomian gland
11. Nontender chronic lesions; bump: Chalazion is More common in adults and
S?S
12. TX: Warm compress; daily lid scrubs; lid message; intralesional steroid
injection: Chalazion
13. Conjunctivitis: Refer to ophthalmology for
viral herpetic conjunctivitis w/RED FLAGS
14. Inflammation of the conjunctiva covering the front of the eye from a
15. Conjunctivitis: Allergic conjunctivitis is seen more in Spring and
Bacterial is seen more in pediatric population.
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