Red Eye Conjunctivits History Symptoms Treamtent Allergic Atopy or allergies Itching, rhinitis Bilateral watery Cool compression, eyes, papillae oral/ topical antihistamine, artificial tears Bacterial Burning, tearing, Purulent Topical antibiotic foreign body discharge, x1 week sensation, mild papillae, “may photophobia, progress to blurry vision periorbital cellulitis” Gonococcal/ Sexual contact, Chronic, unilateral Mucoid discharge. Treat for both Chlamydia possible vertical conjunctivitis not Follicles gonococcal and transmission in responsive to chlamydial neonates drops. Tearing, infection. foreign body Ceftriaxone=1g sensation. LUTS IM once AND +new sexual azithromycin 1g partner PO +/- topical abc. Ophthalmology referral Viral (adenovirus Sick contact Recent URTI, Clear mucoid Self-limiting most common) burning, itching, discharge. (resolves in 2-3 foreign body Follicles. Tender weeks). sensation. Mild pre-auricular Contagious for photophobia. lymphadenopathy weeks after sx Typically affects onset. Cold warm one eye first, with compresses. spread to other eye Artificial tears. after a few days Proper hand hygiene
Red Eye Conjunctivits History Symptoms Treamtent Allergic Atopy or allergies Itching, rhinitis Bilateral watery eyes, papillae Cool compression, oral/ topical antihistamine, artificial tears Bacterial Burning, tearing, foreign body sensation, mild photophobia, blurry vision Purulent discharge, papillae, “may progress to periorbital cellulitis” Topical antibiotic x1 week Gonococcal/ Chlamydia Sexual contact, possible vertical transmission in neonates Chronic, unilateral conjunctivitis not responsive to drops. Tearing, foreign body sensation. LUTS +new sexual partner Mucoid discharge. Follicles Treat for both gonococcal and chlamydial infection. Ceftriaxone=1g IM once AND azithromycin 1g PO +/- topical abc. Ophthalmology referral Viral (adenovirus most common) Sick contact Recent URTI, burning, itching, foreign body sensation. Mild photophobia. Typically affects one eye first, with spread to other eye after a few days Clear mucoid discharge. Follicles. Tender pre-auricular lymphadenopathy Self-limiting (resolves in 2-3 weeks). Contagious for weeks after sx onset. Cold warm compresses. Artificial tears. Proper hand hygiene
170328_clerkship_handbook.docx