Page 161 - 2021 IDMT Digital
P. 161

BACTERIAL CONJUNCTIVITIS
          Introduction:
            •  0RVW FRPPRQO\ LPSOLFDWHG RUJDQLVPV
                 o  Staphylococcus
                 o  Pseudomonas
                 o  Haemophilus
                 o  Neisseria JonorrheaH
                 o  Chlamydia Wrachomatis
            •  %DFWHULDO FRQMXQFWLYLWLV VKRXOG DOZD\V EH KLJK DPRQJ GLIIHUHQWLDOV IRU DQ\RQH ZKR ZHDUV
               FRQWDFW OHQVHV  PRVW FRPPRQ LV Pseudomonas
            •  &DQ EH FDXVHG E\ 67, W\SH LQIHFWLRQV
            •  &KODP\GLDO H\H GLVHDVH  WUDFKRPD  LV PRVW FRPPRQ FDXVH RI LQIHFWLRXV EOLQGQHVV
               ZRUOGZLGH
          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  0LOG GLVFRPIRUW ZLOO EH QRWHG
                 o  1R YLVLRQ ORVV EOXUULQJ
            •  )RFXVHG +LVWRU\
                 o  5HFHQW H[SRVXUHV RU KLVWRU\ RI 67,
                 o  8UHWKUDO GLVFKDUJH RU G\VXULD
                 o  &RQWDFW OHQV ZHDU RFXODU K\JLHQH
                 o  )HYHU
                 o  5HFHQW WUDYHO
          Objective:
            •  3K\VLFDO ([DP
                 o  &RPSOHWH YLWDOV LQFOXGLQJ H\H FKDUW
                 o  3KRWRSKRELD ZLOO QRW EH SUHVHQW
                 o  &RSLRXV SXUXOHQW GLVFKDUJH
                 o  &UXVWLQJ RI H\H
                 o  (U\WKHPD RI FRQMXQFWLYD
                 o  5HFRPPHQG *8 *<1 H[DP LI VXVSLFLRXV IRU 67, UHODWHG FRQMXQFWLYLWLV
          Assessment:
            •  'LIIHUHQWLDO
                 o  9LUDO FRQMXQFWLYLWLV  ELODWHUDO ZDWHU\  LWFK\ H\HV  85, V\PSWRPV
                 o  $FXWH XYHLWLV  PDUNHG SKRWRSKRELD  FRQVHQVXDO OLJKW UHIOH[ SDLQ  UHGQHVV
                    LQYROYLQJ WKH OLPEXV
                 o  $FXWH JODXFRPD  PDUNHG SDLQ  SURIRXQG YLVLRQ ORVV
                 o  &RUQHDO XOFHU  KLVWRU\ RI FRQWDFW OHQVHV ZHDU  H\H SDLQ  SKRWRSKRELD
                 o  'U\ H\H  HQYLURQPHQWDO H[SRVXUHV  UKHXPDWLF GLVHDVH

















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